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General NPI Number Information
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NPI Number | 1386771095
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Entity Type | Organization
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Legal Business Name | MSB PERSONAL ASSISTANT SERVICES, LLC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 1120 NASA PKWY STE 420
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City | HOUSTON
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State | TX
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Zip | 77058-3363
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Country | US
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Telephone | 281-335-4882
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Fax | 281-335-5514
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Provider Business Mailing Address
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Address Line | 16868 ROYAL CREST DR
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City | HOUSTON
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State | TX
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Zip | 77058-2529
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Country | US
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Telephone | 281-335-4882
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Fax | 281-984-7471
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. MARSENE S BOLDT
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Credential | RN
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Telephone | 281-335-4882
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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 | 008967
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License Number State | TX
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