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General NPI Number Information
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NPI Number | 1255962411
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Entity Type | Organization
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Legal Business Name | MILLENIA LLC
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 9450 SKILLMAN ST STE 105
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City | DALLAS
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State | TX
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Zip | 75243-8235
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Country | US
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Telephone | 214-223-2042
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Fax | 469-533-4453
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Provider Business Mailing Address
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Address Line | 752 N MAIN ST UNIT 128
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City | MANSFIELD
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State | TX
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Zip | 76063-3241
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Country | US
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Telephone | 214-223-2042
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHUKWUDI UCHEGBU
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Credential |
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Telephone | 214-223-2042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 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 #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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