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General NPI Number Information
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NPI Number | 1598257578
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Entity Type | Organization
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Legal Business Name | HENOSIS MANAGMENT, LLC
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 7701 WALLACE LN
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City | CHARLOTTE
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State | NC
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Zip | 28212-6427
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Country | US
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Telephone | 817-529-0544
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Fax | 817-612-6677
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Provider Business Mailing Address
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Address Line | 777 MAIN ST STE 600 C/O PFS TEXAS HOLDINGS, LLC
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City | FORT WORTH
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State | TX
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Zip | 76102-5368
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Country | US
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Telephone | 817-529-0544
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Fax | 817-612-6677
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | YUSEFF HOWARD
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Credential |
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Telephone | 817-529-0544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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