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General NPI Number Information
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NPI Number | 1619790615
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Entity Type | Organization
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Legal Business Name | MATERNAL CHILD HEALTH AT HOME LLC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 2001 TIMBERLOCH PL STE 500
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City | SPRING
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State | TX
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Zip | 77380-1375
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Country | US
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Telephone | 832-265-2267
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 TIMBERLOCH PL STE 500
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City | SPRING
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State | TX
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Zip | 77380-1375
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Country | US
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Telephone | 832-265-2267
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LATONIA WALKER
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Credential | RN
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Telephone | 832-265-2267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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