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General NPI Number Information
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NPI Number | 1881807485
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Entity Type | Organization
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Legal Business Name | CONSOLIDATED FIRST CHOICE HOME HEALTH,INC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 507 GASLIGHT BLVD STE B
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City | LUFKIN
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State | TX
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Zip | 75904-3127
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Country | US
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Telephone | 409-489-9573
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Fax | 409-489-9128
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Provider Business Mailing Address
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Address Line | P.O. BOX 308
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City | BON WIER
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State | TX
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Zip | 75928
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Country | US
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Telephone | 409-489-9573
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Fax | 409-489-9128
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Authorized Official
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Title or Position | R.N.
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Name | MRS. GLORIA D JONES
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Credential | R.N.
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Telephone | 409-489-9573
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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 | 012630
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License Number State | TX
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