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General NPI Number Information
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NPI Number | 1083117824
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Entity Type | Organization
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Legal Business Name | MORNING STAR CARE SERVICES
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 03/16/2018
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Provider Practice Location Address
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Address Line | 4231 OAK SHADOWS DR
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City | HOUSTON
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State | TX
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Zip | 77091-5316
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Country | US
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Telephone | 713-504-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 4231 OAK SHADOWS DR
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City | HOUSTON
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State | TX
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Zip | 77091-5316
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Country | US
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Telephone | 713-504-2213
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTHONY CARL GILLUM JR.
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Credential | MBA
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Telephone | 713-504-2213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #5
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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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