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General NPI Number Information
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NPI Number | 1548480353
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Entity Type | Organization
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Legal Business Name | MARTIN GRAHAM ENTERPRISES LLC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1701 N COLLINS BLVD STE 3000E
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City | RICHARDSON
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State | TX
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Zip | 75080-3564
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Country | US
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Telephone | 972-386-7744
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Fax | 972-838-9204
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Provider Business Mailing Address
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Address Line | 1701 N COLLINS BLVD STE 3000E
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City | RICHARDSON
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State | TX
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Zip | 75080-3564
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Country | US
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Telephone | 972-386-7744
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Fax | 972-838-9204
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | BRENT KORTE
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Credential |
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Telephone | 913-579-8741
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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 | 016395
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License Number State | TX
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