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General NPI Number Information
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NPI Number | 1730653072
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Entity Type | Organization
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Legal Business Name | ANOINTED PERSONAL HOME CARE SERVS
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Dates
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Enumeration Date | 01/21/2019
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 407 FAIRWAY DR
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City | BRYAN
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State | TX
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Zip | 77801-3010
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Country | US
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Telephone | 833-622-4466
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Fax | 979-200-2082
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Provider Business Mailing Address
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Address Line | PO BOX 6266
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City | BRYAN
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State | TX
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Zip | 77805-6266
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Country | US
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Telephone | 833-622-4466
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Fax | 979-200-2082
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | TAMESHIA SMITH
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Credential | CNA
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Telephone | 833-622-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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