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General NPI Number Information
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NPI Number | 1093722712
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Entity Type | Organization
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Legal Business Name | MAJESTIC HEALTHCARE, INC.
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1608 FLOWERS DR
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City | CARROLLTON
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State | TX
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Zip | 75007-1469
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Country | US
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Telephone | 469-826-4352
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Fax | 469-574-5135
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Provider Business Mailing Address
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Address Line | 1608 FLOWERS DR
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City | CARROLLTON
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State | TX
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Zip | 75007-1469
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Country | US
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Telephone | 469-826-4352
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Fax | 469-574-5135
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SHAWN HAMILTON
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Credential | RN, BSN
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Telephone | 469-826-4352
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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 | 010380
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License Number State | TX
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