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General NPI Number Information
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NPI Number | 1568273860
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Entity Type | Organization
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Legal Business Name | 4BROTHERS HOME CARE LLC
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 8649 LAS VEGAS CT APT 2823
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City | FORT WORTH
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State | TX
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Zip | 76116-0045
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Country | US
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Telephone | 682-444-6193
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Fax |
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Provider Business Mailing Address
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Address Line | 8649 LAS VEGAS CT APT 2823
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City | FORT WORTH
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State | TX
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Zip | 76116-0045
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Country | US
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Telephone | 682-444-6193
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | HAPPY MESIFINI
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Credential |
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Telephone | 682-444-6193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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