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General NPI Number Information
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NPI Number | 1184068033
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Entity Type | Organization
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Legal Business Name | MAXUS HEALTHCARE PARTNERS LLC
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 3305 S MAYHILL RD STE 125
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City | DENTON
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State | TX
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Zip | 76208-6055
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Country | US
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Telephone | 940-243-9812
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Fax | 940-243-9817
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Provider Business Mailing Address
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Address Line | 1021 WASHINGTON AVE STE 202
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City | FORT WORTH
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State | TX
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Zip | 76104-3021
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Country | US
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Telephone | 866-841-3044
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Fax | 866-720-6748
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Authorized Official
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Title or Position | DIRECTOR OF QM/COMPLIANCE
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Name | MS. PENNY RIVERA
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Credential | RN
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Telephone | 817-921-6400
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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 | 16260
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License Number State | TX
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