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General NPI Number Information
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NPI Number | 1134366735
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Entity Type | Organization
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Legal Business Name | CENA HOME HEALTH, LLC
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 908 N CROCKETT AVE
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City | CAMERON
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State | TX
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Zip | 76520-2560
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Country | US
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Telephone | 254-605-0977
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Fax | 254-605-0997
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Provider Business Mailing Address
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Address Line | 908 N CROCKETT AVE P.O. BOX 750
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City | CAMERON
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State | TX
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Zip | 76520-2560
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Country | US
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Telephone | 254-605-0977
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Fax | 254-605-0997
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. AMAN ALI SHAH
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Credential | M.D.
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Telephone | 254-694-4428
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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 | TX
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