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General NPI Number Information
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NPI Number | 1831414580
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Entity Type | Organization
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Legal Business Name | RW BOSS HEALTH MASTERS HOMECARE INC
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 1100 CIRCLE DR SUITE 200
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City | FORT WORTH
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State | TX
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Zip | 76119-8111
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Country | US
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Telephone | 817-927-9550
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Fax | 817-927-9558
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Provider Business Mailing Address
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Address Line | 1100 CIRCLE DR SUITE 200
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City | FORT WORTH
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State | TX
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Zip | 76119-8111
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Country | US
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Telephone | 817-927-9550
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Fax | 817-927-9558
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Authorized Official
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Title or Position | PRESIDENT AND CFO
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Name | MR. ROBERT BOSS
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Credential |
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Telephone | 817-927-9550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 012897
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License Number State | TX
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