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General NPI Number Information
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NPI Number | 1972590867
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Entity Type | Organization
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Legal Business Name | EST PROFESSIONAL HEALTHCARE,INC
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3129 US HIGHWAY 67 SUITE D
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City | MESQUITE
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State | TX
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Zip | 75150-2701
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Country | US
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Telephone | 972-270-8300
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Fax | 972-270-4667
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Provider Business Mailing Address
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Address Line | 3129 US HIGHWAY 67 SUITE D
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City | MESQUITE
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State | TX
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Zip | 75150-2701
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Country | US
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Telephone | 972-270-8300
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Fax | 972-270-4667
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MS. ANTHONY N NWACHUKWU
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Credential | MS
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Telephone | 972-270-8300
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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 | 009155
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | OO9155
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License Number State | TX
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