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General NPI Number Information
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NPI Number | 1558685727
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Entity Type | Individual
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Provider Name | MS. BINTA MAMBOH NGALLA
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Gender | Female
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 1974 BISHOP HL
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City | FRISCO
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State | TX
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Zip | 75034-8765
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Country | US
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Telephone | 248-798-7022
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Fax | 214-705-0068
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Provider Business Mailing Address
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Address Line | 1974 BISHOP HL
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City | FRISCO
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State | TX
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Zip | 75034-8765
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Country | US
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Telephone | 248-798-7022
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Fax | 214-705-0068
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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Taxonomy #6
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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