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General NPI Number Information
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NPI Number | 1790140861
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Entity Type | Organization
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Legal Business Name | MILESTONE PERSONAL CARE INC.
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 10602 CHAPEL HILL DR
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City | HOUSTON
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State | TX
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Zip | 77099-3905
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Country | US
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Telephone | 281-564-4601
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Fax |
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Provider Business Mailing Address
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Address Line | 10602 CHAPEL HILL DR
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City | HOUSTON
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State | TX
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Zip | 77099-3905
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Country | US
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Telephone | 281-564-4601
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. FUNMILAYO BUNMI ONIPEDE
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Credential |
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Telephone | 281-564-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 141270
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 141270
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License Number State | TX
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