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General NPI Number Information
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NPI Number | 1093084030
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Entity Type | Organization
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Legal Business Name | ROSE OF SHARON HOME HEALTH INC
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 101 E MAIN ST
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City | TRINITY
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State | TX
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Zip | 75862
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Country | US
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Telephone | 936-744-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 14910 MILL BRANCH LN
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City | SUGAR LAND
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State | TX
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Zip | 77498-0905
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TINA R IWEGBU
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Credential |
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Telephone | 936-744-1206
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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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