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General NPI Number Information
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NPI Number | 1326208497
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Entity Type | Organization
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Legal Business Name | MEGA D HEALTHCARE INC
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 1203 QUAIL MEADOW DR
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City | WYLIE
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State | TX
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Zip | 75098-7968
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Country | US
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Telephone | 972-461-2829
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 QUAIL MEADOW DR
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City | WYLIE
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State | TX
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Zip | 75098-7968
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Country | US
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Telephone | 972-461-2829
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHIKEZIE DIKE
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Credential | 9724612829
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Telephone | 972-461-2829
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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 | TX
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