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General NPI Number Information
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NPI Number | 1992031470
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Entity Type | Organization
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Legal Business Name | FIRST SOUTHERNCARE HEALTH SERVICES, INC
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Dates
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Enumeration Date | 10/19/2009
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 9560 SKILLMAN ST STE 122A
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City | DALLAS
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State | TX
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Zip | 75243-8256
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Country | US
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Telephone | 214-205-3886
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Fax |
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Provider Business Mailing Address
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Address Line | 9560 SKILLMAN ST STE 122A
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City | DALLAS
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State | TX
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Zip | 75243-8256
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Country | US
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Telephone | 214-205-3886
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Fax |
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Authorized Official
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Title or Position | ALT ADM/ALT DON
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Name | MRS. BRENDA O OKOJIE
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Credential | RN
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Telephone | 214-205-3886
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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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