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General NPI Number Information
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NPI Number | 1861638736
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Entity Type | Organization
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Legal Business Name | PURE CARE HOME HEALTH SERVICE, INC
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Dates
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Enumeration Date | 12/26/2008
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 429 HUNTERS CREEK DR
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City | SUNNYVALE
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State | TX
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Zip | 75182-4607
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Country | US
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Telephone | 972-285-2341
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Fax | 972-285-2366
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Provider Business Mailing Address
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Address Line | 429 HUNTERS CREEK DR
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City | SUNNYVALE
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State | TX
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Zip | 75182-4607
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Country | US
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Telephone | 972-285-2341
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Fax | 972-285-2366
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. EDU ALFRED UDENZE
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Credential | M.D
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Telephone | 972-285-2341
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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 |
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License Number State |
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