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General NPI Number Information
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NPI Number | 1023765450
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Entity Type | Organization
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Legal Business Name | NOIR SUNFLOWERS LLC
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Dates
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Enumeration Date | 03/06/2022
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Last Update Date | 03/06/2022
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Provider Practice Location Address
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Address Line | 2413 HOLMAN ST
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City | HOUSTON
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State | TX
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Zip | 77004-4245
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Country | US
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Telephone | 183-257-1584
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Fax |
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Provider Business Mailing Address
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Address Line | 2413 HOLMAN ST
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City | HOUSTON
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State | TX
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Zip | 77004-4245
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Country | US
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Telephone | 183-257-1584
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | KEIARRA SANAE JONES
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Credential |
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Telephone | 832-571-5843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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 | 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 #3
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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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