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General NPI Number Information
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NPI Number | 1871288373
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Entity Type | Organization
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Legal Business Name | XO HEALTHCARE CORP
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 6160 WARREN PKWY STE 100
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City | FRISCO
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State | TX
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Zip | 75034-9415
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Country | US
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Telephone | 469-200-0650
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Fax |
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Provider Business Mailing Address
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Address Line | 713 SANDBOX DR
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City | AUBREY
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State | TX
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Zip | 76227-1503
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Country | US
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Telephone | 972-984-9797
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Fax |
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Authorized Official
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Title or Position | CEO/ ADMINISTRATOR
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Name | STEVON GIPSON
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Credential |
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Telephone | 972-984-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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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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