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General NPI Number Information
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NPI Number | 1972596625
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Entity Type | Organization
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Legal Business Name | GUARDIAN HEALTH CARE INC.
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1320 S UNIVERSITY DR STE 110
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City | FORT WORTH
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State | TX
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Zip | 76107-5711
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Country | US
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Telephone | 817-882-8200
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Fax | 817-882-8789
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Provider Business Mailing Address
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Address Line | 3854 AMERICAN WAY STE A
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City | BATON ROUGE
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State | LA
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Zip | 70816-4897
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Country | US
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Telephone | 225-299-3253
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Fax |
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Authorized Official
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Title or Position | CFO EVP
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Name | SCOTT GERALD GINN
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Credential |
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Telephone | 225-299-3516
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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 | 001871
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 011216
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License Number State | TX
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