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General NPI Number Information
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NPI Number | 1871963595
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Entity Type | Organization
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Legal Business Name | DISTINCT CARE HEALTH SERVICES
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 1205 N MEYER ST STE 5
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City | SEALY
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State | TX
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Zip | 77474-1694
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Country | US
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Telephone | 973-517-1922
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 N MEYER ST
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City | SEALY
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State | TX
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Zip | 77474-1693
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Country | US
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Telephone | 973-517-1922
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Fax |
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Authorized Official
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Title or Position | DON
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Name | MRS. CYNTHIA ADDO
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Credential |
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Telephone | 973-517-1922
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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 | TX
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