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General NPI Number Information
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NPI Number | 1437357910
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Entity Type | Organization
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Legal Business Name | HEALTHCARE IDEAL SOLUTIONS LLC
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 102 AGUILAR DR
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City | HUTTO
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State | TX
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Zip | 78634-4349
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Country | US
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Telephone | 512-796-3610
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Fax |
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Provider Business Mailing Address
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Address Line | 11900 METRIC BLVD J-174
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City | AUSTIN
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State | TX
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Zip | 78758-3152
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Country | US
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Telephone | 512-796-3610
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | APPOLONIA OKEREKE
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Credential | E.M.B.A, B.S.N
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Telephone | 512-796-3610
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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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