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General NPI Number Information
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NPI Number | 1790027761
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Entity Type | Organization
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Legal Business Name | ELLIS BUSINESS GROUP LLC.
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4127 HARTSVILLE RD
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City | HOUSTON
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State | TX
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Zip | 77047-1218
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Country | US
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Telephone | 281-819-7821
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Fax | 281-888-8964
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Provider Business Mailing Address
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Address Line | 4127 HARTSVILLE RD
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City | HOUSTON
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State | TX
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Zip | 77047-1218
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Country | US
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Telephone | 281-819-7821
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Fax | 281-888-8964
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NATARSHA NECOLE ELLIS
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Credential |
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Telephone | 281-819-7821
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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 | TX
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