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General NPI Number Information
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NPI Number | 1750193520
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Entity Type | Organization
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Legal Business Name | 5D HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1683 GRACEHILL WAY
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City | FORNEY
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State | TX
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Zip | 75126-4281
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Country | US
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Telephone | 469-881-6027
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Fax |
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Provider Business Mailing Address
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Address Line | 1683 GRACEHILL WAY
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City | FORNEY
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State | TX
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Zip | 75126-4281
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Country | US
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Telephone | 469-881-6027
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JOSHUA B AZEEZ
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Credential |
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Telephone | 469-881-6027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 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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