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General NPI Number Information
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NPI Number | 1952592248
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Entity Type | Organization
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Legal Business Name | HOME HEALTH AGENCY-TEXAS, INC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 6390 LBJ FWY SUITE # 106
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City | DALLAS
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State | TX
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Zip | 75240-6409
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Country | US
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Telephone | 214-866-0172
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Fax | 214-866-0153
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Provider Business Mailing Address
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Address Line | 6390 LBJ FWY SUITE # 106
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City | DALLAS
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State | TX
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Zip | 75240-6409
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Country | US
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Telephone | 214-866-0181
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Fax | 214-866-0189
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Authorized Official
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Title or Position | V.P. OPERATIONS
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Name | SAMMI LOU SMITS
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Credential | RN,BSN,CHCE
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Telephone | 214-866-0172
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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 | 9178
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License Number State | TX
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