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General NPI Number Information
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NPI Number | 1073839403
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Entity Type | Organization
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Legal Business Name | BUTTERFLY KISSES HOME HEALTH AGENCY
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 1804 SNAKE RIVER RD SUITE C
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City | KATY
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State | TX
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Zip | 77449-7744
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Country | US
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Telephone | 832-361-1618
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 SNAKE RIVER RD SUITE C
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City | KATY
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State | TX
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Zip | 77449-7744
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Country | US
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Telephone | 832-361-1618
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ROBIN RICHARDSON
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Credential | RN
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Telephone | 832-361-1618
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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 | 619773
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License Number State | TX
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