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General NPI Number Information
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NPI Number | 1023367026
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Entity Type | Organization
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Legal Business Name | PERPETUAL CARING HOME HEALTH LLC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 550 STAFFORD RUN 204
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City | STAFFORD
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State | TX
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Zip | 77477-5655
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Country | US
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Telephone | 832-978-6485
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Fax | 832-978-6485
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Provider Business Mailing Address
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Address Line | PO BOX 1734
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City | STAFFORD
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State | TX
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Zip | 77497-1734
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Country | US
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Telephone | 832-978-6485
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Fax | 832-978-6485
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Authorized Official
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Title or Position | OWNER
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Name | MRS. OMEGA JACKSON
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Credential |
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Telephone | 832-978-6485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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