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General NPI Number Information
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NPI Number | 1912497686
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Entity Type | Organization
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Legal Business Name | YOURHOME ADVANTAGE HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 19729 STATE HIGHWAY 64
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City | CANTON
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State | TX
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Zip | 75103-6112
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Country | US
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Telephone | 903-265-9197
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 549
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City | CANTON
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State | TX
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Zip | 75103-0549
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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/PRESIDENT
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Name | ROD MILLER
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Credential |
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Telephone | 903-265-9197
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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 |
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