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General NPI Number Information
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NPI Number | 1942657481
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Entity Type | Organization
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Legal Business Name | CHERUBIM HANDS HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 07/04/2016
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Provider Practice Location Address
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Address Line | 1010 LA SALLE DR STE W1A
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City | SHERMAN
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State | TX
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Zip | 75090-1769
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Country | US
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Telephone | 214-554-3758
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 LA SALLE DR STE W1A
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City | SHERMAN
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State | TX
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Zip | 75090-1769
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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 | CEO
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Name | SUNGSOON YOO
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Credential | RN
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Telephone | 214-554-3758
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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 | 832496
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License Number State | TX
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