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General NPI Number Information
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NPI Number | 1669171591
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Entity Type | Organization
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Legal Business Name | AXIS HEALTHCARE LLC
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 7106 GOLDEN GROUNDSEL DR
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City | KATY
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State | TX
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Zip | 77493-4342
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Country | US
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Telephone | 832-475-5170
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Fax | 385-513-2758
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Provider Business Mailing Address
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Address Line | 7106 GOLDEN GROUNDSEL DR
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City | KATY
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State | TX
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Zip | 77493-4342
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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 | ADMINISTRATOR
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Name | ESEOSE OLUMOROTI
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Credential | RN
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Telephone | 832-475-5170
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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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Taxonomy #2
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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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