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General NPI Number Information
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NPI Number | 1932607512
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Entity Type | Organization
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Legal Business Name | GLORIA JEAN FLENNOY
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7410 BOULEVARD 26 STE E
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City | RICHLAND HILLS
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State | TX
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Zip | 76180-8656
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Country | US
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Telephone | 682-302-4267
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Fax |
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Provider Business Mailing Address
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Address Line | 4804 ALANDALE DR
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City | FOREST HILL
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State | TX
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Zip | 76119-7508
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Country | US
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Telephone | 682-302-4267
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GLORIA FLENNOY
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Credential |
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Telephone | 682-302-4267
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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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