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General NPI Number Information
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NPI Number | 1205994969
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Entity Type | Organization
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Legal Business Name | ALTIMA HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 11115 MILLS RD STE 108
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City | CYPRESS
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State | TX
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Zip | 77429-3036
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Country | US
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Telephone | 281-897-0404
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Fax | 832-862-5782
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Provider Business Mailing Address
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Address Line | 11115 MILLS RD STE 108
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City | CYPRESS
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State | TX
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Zip | 77429-3036
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Country | US
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Telephone | 281-897-0404
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Fax | 832-862-5782
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BERNADETTE C DALE
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Credential |
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Telephone | 281-897-0404
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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 | 008825
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License Number State | TX
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