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General NPI Number Information
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NPI Number | 1417837311
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Entity Type | Organization
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Legal Business Name | NUMA PEACE HOME CARE LLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1418 EDGEMONT AVE
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City | DALLAS
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State | TX
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Zip | 75216-1715
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Country | US
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Telephone | 210-504-1786
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 210-504-1786
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | OSAYUWARE IGBINADOLOR
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Credential |
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Telephone | 210-504-1786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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