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General NPI Number Information
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NPI Number | 1336630003
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Entity Type | Organization
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Legal Business Name | ADL CAREGIVERS LLC
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 4412 STANFORD ST UNIT 4
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City | HOUSTON
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State | TX
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Zip | 77006
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Country | US
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Telephone | 844-205-7403
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Fax | 844-688-4890
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Provider Business Mailing Address
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Address Line | 4412 STANFORD ST APT 4
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City | HOUSTON
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State | TX
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Zip | 77006-5952
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Country | US
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Telephone | 844-205-7403
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Fax | 844-688-4890
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AKOSUA ADJARE-SEFA
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Credential | FNP-C
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Telephone | 844-205-7403
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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 | TX
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