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General NPI Number Information
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NPI Number | 1548985435
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Entity Type | Organization
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Legal Business Name | MEDNOVA HOMEHEALTH INC.
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 13014 CATALINA GROVE LN
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City | RICHMOND
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State | TX
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Zip | 77407-3280
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Country | US
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Telephone | 346-843-0950
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Fax | 346-843-0211
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Provider Business Mailing Address
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Address Line | 13014 CATALINA GROVE LN
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City | RICHMOND
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State | TX
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Zip | 77407-3280
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Country | US
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Telephone | 346-843-0950
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Fax | 346-843-0211
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Authorized Official
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Title or Position | OWNER
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Name | SYED YOUSUFUDDIN
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Credential |
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Telephone | 281-827-0389
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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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