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General NPI Number Information
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NPI Number | 1225676521
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Entity Type | Organization
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Legal Business Name | NOAHS ARK UNITED HOME CARE LLC
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 2127 BEACON PARK CT
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City | SPRING
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State | TX
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Zip | 77373-2586
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Country | US
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Telephone | 929-494-8109
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Fax |
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Provider Business Mailing Address
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Address Line | 2127 BEACON PARK CT
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City | SPRING
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State | TX
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Zip | 77373-2586
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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 | ADMINISTRATOR
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Name | FIKILE MSOMI
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Credential |
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Telephone | 929-494-8109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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