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General NPI Number Information
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NPI Number | 1386933828
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Entity Type | Organization
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Legal Business Name | MOTHERLYCARE HOMEHEALTH INC
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 2410 LUNA RD SUITE 284
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City | CARROLLTON
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State | TX
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Zip | 75006-6538
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Country | US
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Telephone | 972-325-1003
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Fax | 972-782-9821
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Provider Business Mailing Address
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Address Line | 2410 LUNA RD SUITE 284
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City | CARROLLTON
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State | TX
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Zip | 75006-6538
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Country | US
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Telephone | 972-325-1003
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Fax | 972-782-9821
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BIJILI VARANATH
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Credential |
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Telephone | 972-325-1003
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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 | 735333
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 738832
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License Number State | TX
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