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General NPI Number Information
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NPI Number | 1407656713
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Entity Type | Organization
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Legal Business Name | TEXAS SUPPORT NETWORK INC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 200 THORN RIDGE CIR
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City | EL PASO
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State | TX
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Zip | 79932-1463
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Country | US
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Telephone | 616-566-3803
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Fax |
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Provider Business Mailing Address
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Address Line | 200 THORN RIDGE CIR
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City | EL PASO
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State | TX
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Zip | 79932-1463
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Country | US
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Telephone | 616-566-3803
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | NELSON JUMA KAP-KIRWOK
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Credential |
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Telephone | 616-566-3803
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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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