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General NPI Number Information
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NPI Number | 1215722475
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Entity Type | Organization
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Legal Business Name | EVENTIDE HEALTH LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 3220 ESSEX DR
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City | MANSFIELD
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State | TX
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Zip | 76063-7624
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Country | US
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Telephone | 469-506-9982
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 ESSEX DR
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City | MANSFIELD
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State | TX
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Zip | 76063-7624
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Country | US
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Telephone | 469-506-9982
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. OLASUNKANMI M ALABI
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Credential | RN
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Telephone | 469-506-9982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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 | 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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