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General NPI Number Information
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NPI Number | 1457157562
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Entity Type | Organization
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Legal Business Name | LIFE UNLIMITED HOME HEALTH LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 8303 N MOPAC EXPY STE A215
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City | AUSTIN
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State | TX
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Zip | 78759-8751
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Country | US
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Telephone | 512-219-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 18568 FORTY SIX PKWY STE 2001
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City | SPRING BRANCH
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State | TX
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Zip | 78070-6878
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Country | US
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Telephone | 512-219-0233
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASON BOOTZ
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Credential |
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Telephone | 210-712-1990
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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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