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General NPI Number Information
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NPI Number | 1124794714
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Entity Type | Organization
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Legal Business Name | RESET HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 801 E FERN AVE STE 164
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City | MCALLEN
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State | TX
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Zip | 78501-1526
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Country | US
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Telephone | 956-627-5535
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Fax | 956-627-5525
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Provider Business Mailing Address
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Address Line | 10922 N 29TH LN
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City | MCALLEN
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State | TX
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Zip | 78504-6401
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Country | US
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Telephone | 347-527-0494
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHUKWUNONSO JIDEOFOR AZIKIWE
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Credential |
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Telephone | 347-527-0494
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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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