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General NPI Number Information
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NPI Number | 1962742791
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Entity Type | Organization
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Legal Business Name | DALLAS HORIZON HOME HEALTH AGENCY, LLC
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 2775 VILLA CREEK DR STE 120
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City | DALLAS
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State | TX
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Zip | 75234-7476
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Country | US
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Telephone | 972-241-8633
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Fax | 972-243-5482
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Provider Business Mailing Address
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Address Line | 2775 VILLA CREEK DR STE 120
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City | DALLAS
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State | TX
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Zip | 75234-7476
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Country | US
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Telephone | 972-241-8633
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Fax | 972-243-5482
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Authorized Official
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Title or Position | ADMINISTRATOR/CFO
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Name | VICTOR ONYEDIKACHI UGWA
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Credential | BSC
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Telephone | 972-241-8633
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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 | 015697
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License Number State | TX
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