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General NPI Number Information
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NPI Number | 1346078268
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Entity Type | Organization
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Legal Business Name | AMETHYST CARE AND COMPANIONSHIP LLC
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 1715 ESSEX AVE
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City | DALLAS
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State | TX
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Zip | 75203-4329
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Country | US
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Telephone | 469-454-8223
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Fax |
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Provider Business Mailing Address
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Address Line | 445 E FM 1382 STE 3-775
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City | CEDAR HILL
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State | TX
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Zip | 75104-6047
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Country | US
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Telephone | 469-454-8223
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | N ATUREE HUTCHINSON
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Credential |
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Telephone | 214-924-8245
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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