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NPI 1073370136

NPI 1073370136 : ADORN HEALTH CARE LLC : CROCKETT, TX

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General NPI Number Information
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    NPI Number           |    1073370136
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADORN HEALTH CARE LLC 
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Dates
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    Enumeration Date     |    03/04/2024
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    Last Update Date     |    01/03/2026
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Provider Practice Location Address
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    Address Line         |    603 E GOLIAD AVE STE 201 
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    City                 |    CROCKETT
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    State                |    TX
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    Zip                  |    75835-2151
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    Country              |    US
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    Telephone            |    281-624-5176
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    Fax                  |    936-243-6318
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1192 
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    City                 |    CROCKETT
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    State                |    TX
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    Zip                  |    75835-1192
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    Country              |    US
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    Telephone            |    832-990-1070
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OPERATOR
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    Name                 |     DEYUANNA  COOPER 
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    Credential           |    
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    Telephone            |    832-990-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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