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General NPI Number Information
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NPI Number | 1013247865
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Entity Type | Organization
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Legal Business Name | VICTORY HEALTHCARE INC
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 1250 FM 2234 RD SUITE D
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City | STAFFORD
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State | TX
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Zip | 77477-6467
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Country | US
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Telephone | 281-403-6400
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Fax | 281-499-9711
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Provider Business Mailing Address
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Address Line | 1250 FM 2234 RD SUITE D
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City | STAFFORD
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State | TX
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Zip | 77477-6467
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Country | US
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Telephone | 281-403-6400
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Fax | 281-499-9711
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RUFUS OLADIPO ARIYO
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Credential | RN
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Telephone | 281-403-6400
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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 |
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License Number State |
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