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General NPI Number Information
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NPI Number | 1417134271
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Entity Type | Organization
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Legal Business Name | MESFER HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 1403 STELLA DR
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City | LEWISVILLE
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State | TX
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Zip | 75067-4258
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Country | US
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Telephone | 972-434-4666
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 N STEMMONS FWY STE 2025
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City | DALLAS
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State | TX
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Zip | 75247-3866
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Country | US
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Telephone | 972-331-8130
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CELESTINE OKWUAZU
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Credential |
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Telephone | 972-434-4666
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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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