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General NPI Number Information
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NPI Number | 1063536035
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Entity Type | Organization
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Legal Business Name | OPTIMA PROFESSIONAL SERVICES INC.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 1217 WILLOW POINT DR
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City | MURPHY
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State | TX
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Zip | 75094-4184
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Country | US
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Telephone | 972-487-0965
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Fax | 972-487-0989
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Provider Business Mailing Address
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Address Line | 1217 WILLOW POINT DR
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City | MURPHY
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State | TX
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Zip | 75094-4184
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Country | US
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Telephone | 972-487-0965
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Fax | 972-487-0989
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JULIANA CHINYERE ASONYE
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Credential |
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Telephone | 972-487-0965
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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 | 004423
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License Number State | TX
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