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General NPI Number Information
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NPI Number | 1740882422
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Entity Type | Organization
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Legal Business Name | LITTLE MIRACLES HOME HEALTH
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 5258 FARM ROAD 1506
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City | BROOKSTON
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State | TX
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Zip | 75421-4318
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Country | US
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Telephone | 903-715-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 5258 FARM ROAD 1506
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City | BROOKSTON
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State | TX
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Zip | 75421-4318
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Country | US
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Telephone | 903-715-1280
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CASSANDRA NICOLE SNELL
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Credential |
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Telephone | 903-715-1280
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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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