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General NPI Number Information
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NPI Number | 1992284244
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Entity Type | Organization
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Legal Business Name | SMILE GROUP LIMITED
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 5101 N A ST APT 160
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City | MIDLAND
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State | TX
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Zip | 79705-2164
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Country | US
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Telephone | 720-288-4795
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 N A ST APT 160
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City | MIDLAND
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State | TX
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Zip | 79705-2164
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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 | DEPUTY DIRECTOR
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Name | MR. ABIMBOLA ADESOLA ALAGBADO
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Credential |
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Telephone | 720-288-4795
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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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Taxonomy #2
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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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