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NPI 1720214588

NPI 1720214588 : KEMERE HOME HEALTHCARE SERVICES INC : MESQUITE, TX

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General NPI Number Information
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    NPI Number           |    1720214588
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    Entity Type          |    Organization 
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    Legal Business Name  |    KEMERE HOME HEALTHCARE SERVICES INC 
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Dates
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    Enumeration Date     |    06/08/2009
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    Last Update Date     |    06/08/2009
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Provider Practice Location Address
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    Address Line         |    1213 BUCKEYE DR 
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    City                 |    MESQUITE
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    State                |    TX
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    Zip                  |    75181-1261
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    Country              |    US
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    Telephone            |    612-987-2957
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    Fax                  |    972-681-2289
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Provider Business Mailing Address
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    Address Line         |    1213 BUCKEYE DR 
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    City                 |    MESQUITE
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    State                |    TX
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    Zip                  |    75181-1261
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    Country              |    US
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    Telephone            |    612-987-2957
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    Fax                  |    972-681-2289
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Authorized Official
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    Title or Position    |    OWNER/ADMIN
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    Name                 |     KEHINDE E OBASUYI 
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    Credential           |    
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    Telephone            |    612-987-2957
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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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