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General NPI Number Information
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NPI Number | 1972600641
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Entity Type | Organization
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Legal Business Name | JOURNEY HOME HEALTHCARE OF DENTON, LLC
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 4524 BOAT CLUB RD SUITE 162
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City | FORT WORTH
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State | TX
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Zip | 76135-7025
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Country | US
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Telephone | 817-238-6277
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 BOAT CLUB RD SUITE 162
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City | FORT WORTH
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State | TX
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Zip | 76135-7025
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Country | US
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Telephone | 817-238-7701
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. PHYLLIS MARTINDALE
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Credential |
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Telephone | 901-937-3030
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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 |
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License Number State |
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