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General NPI Number Information
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NPI Number | 1194378521
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Entity Type | Organization
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Legal Business Name | AMTRUST HOME HEALTH LLC
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 5301 ALPHA RD APT 332
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City | DALLAS
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State | TX
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Zip | 75240-4374
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Country | US
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Telephone | 214-662-0982
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Fax | 214-594-8862
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Provider Business Mailing Address
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Address Line | 5301 ALPHA RD APT 332
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City | DALLAS
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State | TX
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Zip | 75240-4374
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Country | US
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Telephone | 214-662-0982
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Fax | 214-594-8862
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EVELIN HERNANDEZ
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Credential | RN
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Telephone | 214-662-0982
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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 | 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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