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General NPI Number Information
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NPI Number | 1992141857
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Entity Type | Organization
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Legal Business Name | DELTA HOME HEALTH CARE
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 10211 GARLAND RD
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City | DALLAS
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State | TX
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Zip | 75218-2922
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Country | US
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Telephone | 214-660-0685
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Fax | 214-321-3598
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Provider Business Mailing Address
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Address Line | 10211 GARLAND RD
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City | DALLAS
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State | TX
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Zip | 75218-2922
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Country | US
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Telephone | 214-660-0685
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Fax | 214-321-3518
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHN OYIBO
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Credential |
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Telephone | 214-660-0685
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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 | 001017249
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License Number State | TX
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