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General NPI Number Information
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NPI Number | 1093773863
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Entity Type | Organization
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Legal Business Name | ULTRA HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 8303 SOUTHWEST FWY SUITE 410
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City | HOUSTON
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State | TX
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Zip | 77074-1600
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Country | US
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Telephone | 713-988-5872
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Fax | 713-271-1002
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Provider Business Mailing Address
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Address Line | 8303 SOUTHWEST FWY SUITE 410
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City | HOUSTON
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State | TX
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Zip | 77074-1600
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Country | US
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Telephone | 713-988-5872
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Fax | 713-271-1002
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. FORTUNATO V CONCEPCION
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Credential | CPA
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Telephone | 713-988-5872
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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 | 002444
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License Number State | TX
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