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General NPI Number Information
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NPI Number | 1003148313
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Entity Type | Organization
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Legal Business Name | MM HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 507 ROBIN RDG
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City | SUNNYVALE
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State | TX
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Zip | 75182-3212
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Country | US
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Telephone | 972-285-1469
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Fax | 972-285-1369
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Provider Business Mailing Address
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Address Line | 507 ROBIN RDG
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City | SUNNYVALE
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State | TX
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Zip | 75182-3212
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Country | US
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Telephone | 972-285-1469
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Fax | 972-285-1369
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MINI T EASO
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Credential | RN, BSN
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Telephone | 972-285-1469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 650287
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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 | 650287
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License Number State | TX
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