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General NPI Number Information
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NPI Number | 1902916091
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Entity Type | Organization
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Legal Business Name | MAIN HOME HEALTH SERVICES INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 3435 HIGHLAND RD SUITE 120
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City | DALLAS
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State | TX
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Zip | 75228-6068
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Country | US
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Telephone | 214-256-4013
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Fax | 214-256-4092
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Provider Business Mailing Address
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Address Line | 3435 HIGHLAND RD SUITE 120
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City | DALLAS
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State | TX
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Zip | 75228-6068
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Country | US
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Telephone | 214-256-4013
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Fax | 214-256-4092
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MUSTAFA IRUONS ARASAH
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Credential |
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Telephone | 214-256-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009999
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License Number State | TX
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