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General NPI Number Information
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NPI Number | 1972554152
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Entity Type | Organization
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Legal Business Name | WELLSTREAM HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 1920 CORPORATE DR SUITE A-108
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City | SAN MARCOS
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State | TX
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Zip | 78666-6283
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Country | US
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Telephone | 512-392-0157
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Fax | 512-392-0611
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Provider Business Mailing Address
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Address Line | 12900 FOSTER ST SUITE 400
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | MS. RUTH C. SCHWARTZ
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Credential |
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Telephone | 913-814-2288
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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 | 014462
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License Number State | TX
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