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General NPI Number Information
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NPI Number | 1649220658
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Entity Type | Organization
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Legal Business Name | MERRYMAN HOME HEALTH, INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 100 DECHERD STE B
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City | FRANKLIN
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State | TX
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Zip | 77856-4998
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Country | US
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Telephone | 979-828-1173
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Fax | 979-828-3426
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | FRANKLIN
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State | TX
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Zip | 77856-0247
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Country | US
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Telephone | 979-828-1173
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Fax | 979-828-3426
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Authorized Official
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Title or Position | RN,ADMIN,OWNER
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Name | KIMBERLY MCCORMICK
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Credential |
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Telephone | 979-828-1173
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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 | 010271
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License Number State | TX
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