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General NPI Number Information
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NPI Number | 1972548725
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Entity Type | Organization
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Legal Business Name | AMRITA GROUP INC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 4312 ONYX DR
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City | CARROLLTON
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State | TX
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Zip | 75010-4437
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Country | US
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Telephone | 972-939-1076
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Fax | 972-242-6925
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Provider Business Mailing Address
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Address Line | 4312 ONYX DR
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City | CARROLLTON
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State | TX
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Zip | 75010-4437
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Country | US
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Telephone | 972-939-1076
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Fax | 972-242-6925
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR
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Name | MRS. LEELAVATHI S NAMPUTHIRI
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Credential | RRT
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Telephone | 972-939-1076
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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 | 009164
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License Number State | TX
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