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General NPI Number Information
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NPI Number | 1902332802
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Entity Type | Organization
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Legal Business Name | SINCERELY HOME HEALTH SERVICES
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 4901 SLEEPY RIDGE CIR
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City | FORT WORTH
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State | TX
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Zip | 76133-8329
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Country | US
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Telephone | 682-330-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 SLEEPY RIDGE CIR
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City | FORT WORTH
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State | TX
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Zip | 76133-8329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | CARLY BOHANNON
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Credential |
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Telephone | 682-330-1221
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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 | 018030
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License Number State | TX
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