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General NPI Number Information
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NPI Number | 1265198014
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Entity Type | Organization
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Legal Business Name | DUNAMIS CARE HOME AND ASSISTED LIVING LLC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 11999 HENDERSON DR
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City | FRISCO
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State | TX
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Zip | 75035-8857
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Country | US
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Telephone | 469-331-9114
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Fax |
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Provider Business Mailing Address
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Address Line | 11999 HENDERSON DR
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City | FRISCO
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State | TX
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Zip | 75035-8857
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Country | US
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Telephone | 214-710-6131
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AUGUSTINA NKEM NWABUEZE
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Credential |
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Telephone | 469-331-9114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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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 #7
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #8
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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 #9
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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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Taxonomy #10
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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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