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General NPI Number Information
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NPI Number | 1962141200
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Entity Type | Organization
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Legal Business Name | FAIRMONT HOME HEALTH LLC
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 300 JACKSON ST
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City | RICHMOND
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State | TX
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Zip | 77469-3109
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Country | US
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Telephone | 832-774-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 JACKSON ST
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City | RICHMOND
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State | TX
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Zip | 77469-3109
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Country | US
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Telephone | 832-774-2000
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Fax | 188-825-1880
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Authorized Official
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Title or Position | PRESIDENT/CFO/ADMIN
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Name | ONIEL KURUP
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Credential |
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Telephone | 832-774-2000
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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 |
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License Number State |
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