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General NPI Number Information
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NPI Number | 1083225510
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Entity Type | Organization
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Legal Business Name | A CARYNG HEALTH PROFESSIONAL
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 2010 HUDSPETH DR
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City | ROSHARON
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State | TX
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Zip | 77583-3046
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Country | US
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Telephone | 832-291-4768
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Fax | 713-583-8106
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Provider Business Mailing Address
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Address Line | 10910 S. GESSNER RD P.O. BOX 710941
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City | HOUSTON
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State | TX
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Zip | 77071
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Country | US
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Telephone | 832-291-4768
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICKI HOLIDAY
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Credential |
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Telephone | 832-291-4768
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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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