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General NPI Number Information
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NPI Number | 1871705426
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Entity Type | Organization
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Legal Business Name | TYNET HEALTHCARE INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 4108 MULBERRY DR STE 100
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City | CARROLLTON
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State | TX
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Zip | 75010-1058
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Country | US
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Telephone | 817-385-8888
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Fax | 877-504-7060
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Provider Business Mailing Address
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Address Line | 4108 MULBERRY DR STE 100
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City | CARROLLTON
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State | TX
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Zip | 75010-1058
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Country | US
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Telephone | 817-385-8888
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Fax | 877-504-7060
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Authorized Official
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Title or Position | OWNER
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Name | PORTIA NGOZI MBAH
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Credential | LVN
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Telephone | 817-385-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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