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General NPI Number Information
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NPI Number | 1861401069
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Entity Type | Organization
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Legal Business Name | TEXAS HOME HEALTH
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 554 S SUMMIT AVE
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City | FT WORTH
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State | TX
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Zip | 76104-2044
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Country | US
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Telephone | 817-698-0022
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Fax | 817-698-0022
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Provider Business Mailing Address
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Address Line | PO BOX 897
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City | MANSFIELD
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State | TX
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Zip | 76063-0897
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Country | US
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Telephone | 817-698-0022
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Fax | 817-698-0022
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Authorized Official
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Title or Position | OWNER
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Name | MS. REBEKAH LYNN KEITH
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Credential | RN
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Telephone | 817-698-0022
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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 | 583118
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License Number State | TX
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