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General NPI Number Information
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NPI Number | 1083097158
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Entity Type | Organization
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Legal Business Name | HOUSTON AREA HOUSECALLS LLC
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 6630 HORNWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77074-5010
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Country | US
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Telephone | 832-602-0882
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Fax |
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Provider Business Mailing Address
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Address Line | 2235 ALASSIO ISLE CT
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City | MISSOURI CITY
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State | TX
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Zip | 77459-6975
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Country | US
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Telephone | 832-602-0882
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CAROLYN MOON
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Credential |
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Telephone | 832-531-1658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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