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General NPI Number Information
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NPI Number | 1780476275
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Entity Type | Organization
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Legal Business Name | LAVIDA HEALTH INC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 5910 COURTYARD DR STE 255
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City | AUSTIN
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State | TX
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Zip | 78731-3334
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Country | US
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Telephone | 512-575-2894
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Fax | 512-575-2891
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Provider Business Mailing Address
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Address Line | 5910 COURTYARD DR STE 255
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City | AUSTIN
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State | TX
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Zip | 78731-3334
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Country | US
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Telephone | 512-575-2894
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Fax | 512-575-2891
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Authorized Official
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Title or Position | CEO AND ADMINISTRATOR
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Name | ANNE HAZEL WANJIKU MUGO
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Credential |
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Telephone | 617-216-0408
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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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