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General NPI Number Information
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NPI Number | 1922097005
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Entity Type | Organization
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Legal Business Name | BALLINGER HOME HEALTH INC
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 818 HUTCHINS AVE
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City | BALLINGER
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State | TX
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Zip | 76821-5611
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Country | US
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Telephone | 325-365-3889
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Fax | 325-365-5685
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | BALLINGER
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State | TX
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Zip | 76821-0214
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Country | US
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Telephone | 325-365-3889
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Fax | 325-365-5685
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Authorized Official
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Title or Position | CFO
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Name | DAVID LEON COWART
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Credential |
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Telephone | 325-365-3889
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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 | 014917
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License Number State | TX
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