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General NPI Number Information
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NPI Number | 1982176293
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Entity Type | Organization
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Legal Business Name | ALLEN FAMILY HOME CARE LLC
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 4055 DOWLEN RD STE 112
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City | BEAUMONT
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State | TX
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Zip | 77706
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Country | US
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Telephone | 409-790-0480
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Fax |
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Provider Business Mailing Address
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Address Line | 4055 DOWLEN RD STE 112
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City | BEAUMONT
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State | TX
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Zip | 77706-6850
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Country | US
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Telephone | 409-790-0480
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ASHLEY ALLEN
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Credential |
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Telephone | 409-790-0480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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