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General NPI Number Information
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NPI Number | 1306417894
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Entity Type | Organization
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Legal Business Name | ATLANTIC CARE SERVICES HOUSTON LLC
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 21306 WISEWOOD CT
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City | RICHMOND
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State | TX
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Zip | 77406-2994
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Country | US
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Telephone | 407-484-2972
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Fax | 407-559-8971
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Provider Business Mailing Address
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Address Line | 1845 OAK LN
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City | ORLANDO
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State | FL
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Zip | 32803-1533
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Country | US
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Telephone | 407-484-2972
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Fax | 407-559-8971
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Authorized Official
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Title or Position | VP OF NEW MARKETS
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Name | MARK GARDNER
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Credential |
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Telephone | 407-270-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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