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General NPI Number Information
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NPI Number | 1639910219
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Entity Type | Organization
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Legal Business Name | SAMMELIA MUTLI-SERVICES
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 12747 WOODFOREST BLVD STE 206
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City | HOUSTON
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State | TX
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Zip | 77015-2737
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Country | US
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Telephone | 832-597-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 312 HEATHER GATE LN
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City | CROSBY
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State | TX
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Zip | 77532-3452
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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 | OWNER
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Name | SAMMELIA PRICE
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Credential |
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Telephone | 832-597-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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