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NPI 1669076220

NPI 1669076220 : AADL HEALTHCARE SERVICES, LLC : ADDISON, TX

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General NPI Number Information
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    NPI Number           |    1669076220
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    Entity Type          |    Organization 
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    Legal Business Name  |    AADL HEALTHCARE SERVICES, LLC 
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Dates
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    Enumeration Date     |    11/24/2020
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    Last Update Date     |    11/24/2020
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Provider Practice Location Address
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    Address Line         |    3801 VITRUVIAN WAY APT 362 
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    City                 |    ADDISON
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    State                |    TX
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    Zip                  |    75001-3347
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    Country              |    US
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    Telephone            |    770-568-2480
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    Fax                  |    469-574-7964
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Provider Business Mailing Address
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    Address Line         |    3801 VITRUVIAN WAY APT 362 
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    City                 |    ADDISON
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    State                |    TX
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    Zip                  |    75001-3347
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    Country              |    US
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    Telephone            |    770-568-2480
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. AKINYEMI  LADITI 
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    Credential           |    
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    Telephone            |    770-568-2480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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