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General NPI Number Information
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NPI Number | 1891790135
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Entity Type | Organization
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Legal Business Name | STEPHEN'S HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 711 N GRAHAM ST
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City | STEPHENVILLE
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State | TX
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Zip | 76401-3148
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Country | US
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Telephone | 254-965-6629
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Fax | 254-965-7040
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Provider Business Mailing Address
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Address Line | 711 N GRAHAM ST
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City | STEPHENVILLE
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State | TX
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Zip | 76401-3148
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Country | US
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Telephone | 254-965-6629
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Fax | 254-965-7040
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LAVINIA ANN STEPHEN
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Credential | RN
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Telephone | 254-965-6629
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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 | 004548
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License Number State | TX
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