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General NPI Number Information
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NPI Number | 1801152905
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Entity Type | Organization
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Legal Business Name | MAXUS HEALTHCARE PARTNERS LLC
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 1800 N TRAVIS ST STE E
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City | SHERMAN
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State | TX
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Zip | 75092-3769
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Country | US
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Telephone | 903-463-6700
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Fax | 903-463-6704
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Provider Business Mailing Address
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Address Line | 1021 WASHINGTON AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-3021
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Country | US
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Telephone | 817-921-6400
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Fax | 817-921-6407
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Authorized Official
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Title or Position | DIRECTOR OF QM/COMPLIANCE
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Name | MISS PENNY RIVERA
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Credential | RN
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Telephone | 817-921-6400
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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 | 14980
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License Number State | TX
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