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General NPI Number Information
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NPI Number | 1063810034
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Entity Type | Organization
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Legal Business Name | M&B HOMECARE INC.
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 2121 N 1700 W SUITE A
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City | LAYTON
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State | UT
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Zip | 84041-8803
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Country | US
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Telephone | 801-825-2081
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Fax | 855-327-4739
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Provider Business Mailing Address
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Address Line | 2121 N 1700 W SUITE A
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City | LAYTON
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State | UT
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Zip | 84041-8803
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Country | US
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Telephone | 801-825-2081
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Fax | 855-327-4739
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MR. DAVID TAYLOR MEADS
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Credential | P.T.
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Telephone | 801-825-2081
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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 | 2014PCAUT000609
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License Number State | UT
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