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General NPI Number Information
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NPI Number | 1407301476
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Entity Type | Organization
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Legal Business Name | ASSERTIVE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 1022 E GRIFFIN PKWY SUITE 106A
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City | MISSION
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State | TX
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Zip | 78572-2400
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Country | US
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Telephone | 956-580-9757
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Fax | 956-580-9977
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Provider Business Mailing Address
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Address Line | 1022 E GRIFFIN PKWY SUITE 106A
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City | MISSION
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State | TX
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Zip | 78572-2400
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Country | US
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Telephone | 956-580-9757
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Fax | 956-580-9977
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Authorized Official
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Title or Position | OWNER
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Name | RITA DIANNE MCDONALD
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Credential | RN
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Telephone | 956-580-9757
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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 | TX
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