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General NPI Number Information
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NPI Number | 1033609292
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Entity Type | Organization
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Legal Business Name | MOTHER EARTH HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 128 CREEK PLUM DR
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City | ROYSE CITY
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State | TX
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Zip | 75189-8273
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Country | US
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Telephone | 469-349-9828
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Fax | 833-817-7159
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Provider Business Mailing Address
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Address Line | 9821 SUMMERWOOD CIR APT 1701
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City | DALLAS
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State | TX
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Zip | 75243-7752
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Country | US
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Telephone | 469-349-9828
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Fax | 833-817-7159
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RENE ANDOH
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Credential |
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Telephone | 469-349-9828
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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 | TX
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