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General NPI Number Information
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NPI Number | 1053787739
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Entity Type | Organization
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Legal Business Name | MY NURSE HOSPICE AND PRIVATE SITTERS CORP
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 11601 SHADOW CREEK PKWY STE 107
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City | PEARLAND
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State | TX
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Zip | 77584-7283
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Country | US
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Telephone | 281-380-6746
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Fax | 713-340-0676
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Provider Business Mailing Address
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Address Line | 11601 SHADOW CREEK PKWY STE 107
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City | PEARLAND
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State | TX
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Zip | 77584-7283
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Country | US
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Telephone | 281-380-6746
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Fax | 713-340-0676
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Authorized Official
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Title or Position | CEO,ADM,DON
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Name | MRS. SHAALA NALINI SRUT
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Credential | RN
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Telephone | 281-380-6746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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