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General NPI Number Information
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NPI Number | 1063297273
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Entity Type | Organization
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Legal Business Name | WENGLIKOWSKI HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 3421 W DAVIS ST STE 220
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City | CONROE
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State | TX
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Zip | 77304-1846
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Country | US
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Telephone | 936-600-5552
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Fax |
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Provider Business Mailing Address
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Address Line | 3421 W DAVIS ST STE 220
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City | CONROE
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State | TX
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Zip | 77304-1846
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Country | US
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Telephone | 936-600-5552
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATIE WENGLIKOWSKI
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Credential | RN
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Telephone | 281-202-4789
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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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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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