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General NPI Number Information
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NPI Number | 1952666539
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Entity Type | Organization
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Legal Business Name | VAN DYCK HOME CARE ENTERPRISES, LLC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 9608 BARTLETT CIR STE 150
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City | FORT WORTH
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State | TX
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Zip | 76108-4449
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Country | US
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Telephone | 817-249-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 4647 YUCCA FLATS TRL
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City | FT WORTH
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State | TX
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Zip | 76108-8333
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Country | US
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Telephone | 361-815-4446
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Fax | 817-249-6802
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | ELIZABETH A VAN DYCK
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Credential |
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Telephone | 817-249-6800
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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 | 015436
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License Number State | TX
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