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General NPI Number Information
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NPI Number | 1871632513
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Entity Type | Organization
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Legal Business Name | NORTHEAST TEXAS HOME HEALTH AGENCY LTD
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 2015 LONGVIEW DR
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City | HENDERSON
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State | TX
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Zip | 75652-5155
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Country | US
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Telephone | 903-657-1004
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Fax | 903-657-2260
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Provider Business Mailing Address
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Address Line | 8150 N CENTRAL EXPY STE 1800
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City | DALLAS
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State | TX
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Zip | 75206-1883
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Country | US
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Telephone | 469-839-3777
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Fax | 469-983-2083
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | CHRIS WALKER
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Credential |
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Telephone | 469-839-3706
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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 | 002875
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License Number State | TX
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