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General NPI Number Information
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NPI Number | 1891709127
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Entity Type | Organization
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Legal Business Name | LORETTA'S HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 10400 VINEYARD BLVD STE G101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-3829
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Country | US
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Telephone | 405-748-2575
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Fax |
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Provider Business Mailing Address
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Address Line | 10400 VINEYARD BLVD STE G101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-3829
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Country | US
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Telephone | 405-748-2575
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Fax | 405-748-7265
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Authorized Official
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Title or Position | CEO
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Name | LORETTA THOMAS
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Credential |
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Telephone | 405-748-2575
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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 | 7728
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License Number State | OK
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