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General NPI Number Information
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NPI Number | 1285039180
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Entity Type | Organization
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Legal Business Name | ST. MARTINO HOME HEALTH INC.
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 1117 W PIONEER PKWY STE 110
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City | ARLINGTON
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State | TX
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Zip | 76013-6395
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Country | US
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Telephone | 817-501-7727
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Fax | 817-459-3314
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Provider Business Mailing Address
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Address Line | 2511 OAK MANOR CT
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City | ARLINGTON
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State | TX
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Zip | 76012-3550
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Country | US
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Telephone | 817-617-8089
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Fax | 817-459-3314
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AGNES STURGEON
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Credential |
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Telephone | 817-501-7727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 016744
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 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 #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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