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General NPI Number Information
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NPI Number | 1144934795
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Entity Type | Organization
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Legal Business Name | CARE MOUNTAIN INC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 825 WATTERS CREEK, SUITE 250
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City | ALLEN
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State | TX
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Zip | 75013
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Country | US
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Telephone | 972-266-8978
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Fax | 972-695-3572
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Provider Business Mailing Address
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Address Line | 2300 MCDERMOTT RD, SUITE 200, PO BOX 276
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City | PLANO
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State | TX
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Zip | 75025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GAGAN BHALLA
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Credential |
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Telephone | 817-309-7127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251J00000X
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Taxonomy Name | Nursing 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 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 #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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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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