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General NPI Number Information
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NPI Number | 1376968362
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Entity Type | Organization
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Legal Business Name | SOUTHWEST PERSONAL ASSISTANCE SERVICES LLC
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 1229 E. PLEASANT RUN RD STE. 329
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City | DESOTO
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State | TX
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Zip | 75115-3528
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Country | US
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Telephone | 214-258-5908
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Fax | 972-201-9003
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Provider Business Mailing Address
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Address Line | 1229 E PLEASANT RUN RD STE 329
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City | DESOTO
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State | TX
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Zip | 75115-4209
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Country | US
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Telephone | 214-258-5908
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Fax | 972-201-9003
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHERRY MCMULLEN
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Credential |
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Telephone | 469-523-1429
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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 | 016383
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License Number State | TX
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Taxonomy #2
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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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