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General NPI Number Information
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NPI Number | 1609507110
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Entity Type | Organization
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Legal Business Name | DYNAMIC HOUSECALLS
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 30218 CASCADING BROOK WAY
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City | BROOKSHIRE
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State | TX
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Zip | 77423-2786
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Country | US
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Telephone | 347-316-7396
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Fax |
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Provider Business Mailing Address
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Address Line | 30218 CASCADING BROOK WAY
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City | BROOKSHIRE
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State | TX
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Zip | 77423-2786
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Country | US
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Telephone | 347-316-7396
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ROSEMARY IJEOMA MBAM
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Credential | AGNP-C
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Telephone | 347-316-7396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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