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General NPI Number Information
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NPI Number | 1629305107
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Entity Type | Organization
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Legal Business Name | SYAM HOME HEALTHCARE
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 08/17/2012
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Provider Practice Location Address
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Address Line | 1227 MORRELL AVE STE A
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City | DALLAS
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State | TX
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Zip | 75203-3360
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Country | US
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Telephone | 214-942-4985
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Fax | 214-942-4986
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Provider Business Mailing Address
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Address Line | PO BOX 398833
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City | DALLAS
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State | TX
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Zip | 75339-8833
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHANNON MAYS
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Credential |
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Telephone | 214-942-4985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 013452
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License Number State | TX
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