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General NPI Number Information
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NPI Number | 1083013460
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Entity Type | Organization
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Legal Business Name | STAMD HEALTH CARE, INCORPORATED
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 20642 GARDEN RIDGE CYN
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City | RICHMOND
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State | TX
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Zip | 77407-4134
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Country | US
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Telephone | 443-938-8397
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Fax | 832-535-3899
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Provider Business Mailing Address
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Address Line | 20642 GARDEN RIDGE CYN
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City | RICHMOND
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State | TX
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Zip | 77407-4134
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Country | US
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Telephone | 443-938-8397
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Fax | 832-535-3899
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ADEBUSOLA STELLA OYESILE
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Credential | RN BSN
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Telephone | 443-938-8397
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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 |
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