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NPI 1679346480

NPI 1679346480 : TESTAS HEALTHCARE SERVICES INC : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1679346480
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    Entity Type          |    Organization 
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    Legal Business Name  |    TESTAS HEALTHCARE SERVICES INC 
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Dates
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    Enumeration Date     |    11/02/2023
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    Last Update Date     |    11/02/2023
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Provider Practice Location Address
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    Address Line         |    607 E ABRAM ST STE 14 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76010-1206
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    Country              |    US
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    Telephone            |    817-883-4452
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    607 E ABRAM ST STE 14 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76010-1206
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    Country              |    US
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    Telephone            |    817-883-4452
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SIMISOLA  ASEKUN 
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    Credential           |    
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    Telephone            |    817-883-4452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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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        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QI0500X
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    Taxonomy Name        |    Infusion Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    347E00000X
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    Taxonomy Name        |    Transportation Broker
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    261QM2800X
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    Taxonomy Name        |    Methadone Clinic
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    385HR2055X
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    Taxonomy Name        |    Child Mental Illness Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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