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General NPI Number Information
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NPI Number | 1083852529
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Entity Type | Organization
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Legal Business Name | NCN HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 11922 BRAES PARK DR
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City | HOUSTON
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State | TX
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Zip | 77071-3279
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Country | US
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Telephone | 832-794-0462
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Fax |
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Provider Business Mailing Address
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Address Line | 11922 BRAES PARK DR
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City | HOUSTON
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State | TX
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Zip | 77071-3279
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Country | US
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Telephone | 18-327-9404
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | IHEANYI C NWOKENAKA
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Credential |
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Telephone | 281-341-7784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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