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General NPI Number Information
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NPI Number | 1922571983
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Entity Type | Organization
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Legal Business Name | VITAL HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 9304 FOREST LN STE N265
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City | DALLAS
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State | TX
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Zip | 75243-6238
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Country | US
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Telephone | 972-861-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 9304 FOREST LN STE N265
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City | DALLAS
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State | TX
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Zip | 75243-6238
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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 | REPRESENTATIVE MEMBER
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Name | MS. ELA KAYEMBE
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Credential |
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Telephone | 781-866-6493
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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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