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General NPI Number Information
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NPI Number | 1851261598
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Entity Type | Organization
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Legal Business Name | M&M HOMECARE LLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 12850 SPURLING DR STE 100
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City | DALLAS
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State | TX
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Zip | 75230-7215
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Country | US
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Telephone | 469-985-2964
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Fax |
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Provider Business Mailing Address
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Address Line | 352 HOLLY HILL LN
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City | BURLINGTON
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State | NC
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Zip | 27215-5209
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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 | DIRECTOR OF ENTERPRISE SERVICES
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Name | KELLY CANADY
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Credential |
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Telephone | 949-680-6553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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