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General NPI Number Information
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NPI Number | 1457417529
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Entity Type | Organization
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Legal Business Name | AUNT MAE'S HOME CARE
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Dates
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Enumeration Date | 12/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2908 CHEVERNY DR
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City | MCKINNEY
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State | TX
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Zip | 75070-4710
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Country | US
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Telephone | 469-742-0700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 715
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City | MCKINNEY
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State | TX
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Zip | 75070-8143
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Country | US
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Telephone | 469-742-0700
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Fax | 469-519-0223
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Authorized Official
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Title or Position | PRESIDENT
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Name | SOMNATH BANERJEE
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Credential |
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Telephone | 469-742-0700
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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 | 009758
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License Number State | TX
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