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General NPI Number Information
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NPI Number | 1871098780
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Entity Type | Organization
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Legal Business Name | AMERICAN WONDER CARE SERVICES, INC.
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Dates
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Enumeration Date | 03/25/2018
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Last Update Date | 03/25/2018
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Provider Practice Location Address
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Address Line | 14785 PRESTON RD STE 550
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City | DALLAS
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State | TX
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Zip | 75254-7899
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Country | US
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Telephone | 972-836-9749
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Fax |
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Provider Business Mailing Address
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Address Line | 501 HIGHLAND DR APT 1227
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City | LEWISVILLE
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State | TX
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Zip | 75067-4113
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Country | US
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Telephone | 469-407-3491
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Fax | 972-836-9749
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. OLAWUNMI OMOTAYO OLONIYO
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Credential | CARE
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Telephone | 972-464-6277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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