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General NPI Number Information
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NPI Number | 1972164374
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Entity Type | Organization
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Legal Business Name | AT EASE PERSONAL HOME CARE AND ERRAND SERVICE LLC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 1031 N MAGNOLIA DALE DR
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City | FRESNO
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State | TX
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Zip | 77545-8670
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Country | US
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Telephone | 281-236-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 N MAGNOLIA DALE DR
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City | FRESNO
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State | TX
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Zip | 77545-8670
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Country | US
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Telephone | 281-236-1252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TYRONE EAGLIN
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Credential |
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Telephone | 281-236-1252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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