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General NPI Number Information
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NPI Number | 1942687454
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Entity Type | Organization
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Legal Business Name | O&R GWITS, LLC
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 3901 ARLINGTON HIGHLANDS BLVD SUITE 200
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City | ARLINGTON
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State | TX
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Zip | 76018-6036
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Country | US
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Telephone | 817-225-2618
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 PALMER DR
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City | MANSFIELD
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State | TX
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Zip | 76063-3432
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Country | US
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Telephone | 817-225-2618
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Fax |
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Authorized Official
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Title or Position | AGENT, CHIEF FINANCIAL OFFICER
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Name | OBEY C GWITIRA
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Credential |
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Telephone | 817-225-2618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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