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General NPI Number Information
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NPI Number | 1104136001
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Entity Type | Organization
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Legal Business Name | KORDIE ENTERPRISES, INC.
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 10/17/2010
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Provider Practice Location Address
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Address Line | 616 FM 1960 RD W SUITE 101
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City | HOUSTON
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State | TX
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Zip | 77090-3000
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Country | US
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Telephone | 281-440-5160
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Fax |
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Provider Business Mailing Address
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Address Line | 2802 FIRECREST DR
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City | KATY
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State | TX
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Zip | 77494-0653
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Country | US
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Telephone | 281-670-8826
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RIMA KORDIE
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Credential | RN
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Telephone | 281-639-3314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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