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General NPI Number Information
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NPI Number | 1841830445
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Entity Type | Organization
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Legal Business Name | ADVANCED PRACTICE HOUSE CALLS LLC
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Dates
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Enumeration Date | 01/10/2020
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 2646 S LOOP W STE 330
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City | HOUSTON
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State | TX
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Zip | 77054-2773
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Country | US
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Telephone | 832-889-9390
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Fax |
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Provider Business Mailing Address
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Address Line | 2646 S LOOP W STE 300
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City | HOUSTON
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State | TX
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Zip | 77054-2665
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | AHMAD AMIRDASH
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Credential | AGACNP,MS, BBA, CCRN
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Telephone | 832-889-9390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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