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General NPI Number Information
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NPI Number | 1700211265
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Entity Type | Organization
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Legal Business Name | MUSTARD SEED HOME HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 09/03/2013
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Provider Practice Location Address
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Address Line | 1531 S STATE HIGHWAY 121 APT 3422
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City | LEWISVILLE
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State | TX
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Zip | 75067-5920
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Country | US
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Telephone | 469-274-9652
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Fax | 972-956-8356
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Provider Business Mailing Address
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Address Line | 1531 S STATE HIGHWAY 121 APT 3422
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City | LEWISVILLE
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State | TX
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Zip | 75067-5920
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Country | US
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Telephone | 469-274-9652
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Fax | 972-956-8356
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SABINUS AMAECHI
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Credential |
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Telephone | 469-274-9652
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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 |
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License Number State |
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