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General NPI Number Information
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NPI Number | 1902414352
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Entity Type | Organization
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Legal Business Name | SHUNAMMITE HOME CARE LLC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 1648 BAYLAND ST
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City | ROUND ROCK
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State | TX
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Zip | 78664-3746
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Country | US
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Telephone | 512-297-8312
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Fax |
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Provider Business Mailing Address
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Address Line | 1648 BAYLAND ST
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City | ROUND ROCK
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State | TX
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Zip | 78664-3746
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Country | US
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Telephone | 512-297-8312
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Fax | 512-494-4233
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Authorized Official
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Title or Position | CFO
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Name | MR. GEORGE KAMGA
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Credential |
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Telephone | 512-297-8312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #8
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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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