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General NPI Number Information
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NPI Number | 1770229486
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Entity Type | Organization
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Legal Business Name | MICAN STAFFING COMPANY LLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 6671 SOUTHWEST FWY STE 484
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City | HOUSTON
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State | TX
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Zip | 77074-2227
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Country | US
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Telephone | 713-384-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 6671 SOUTHWEST FWY STE 484
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City | HOUSTON
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State | TX
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Zip | 77074-2227
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Country | US
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Telephone | 713-384-4567
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MR. MICHAEL NDEJEMBI
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Credential |
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Telephone | 979-616-8236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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