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General NPI Number Information
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NPI Number | 1104854264
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Entity Type | Organization
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Legal Business Name | IN HOME HEALTHCARE L.L.C
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 12337 JONES RD SUITE 242
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City | HOUSTON
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State | TX
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Zip | 77070-4800
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Country | US
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Telephone | 281-257-3366
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Fax | 281-257-3369
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Provider Business Mailing Address
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Address Line | 12337 JONES RD SUITE 242
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City | HOUSTON
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State | TX
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Zip | 77070-4800
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Country | US
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Telephone | 281-257-3366
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Fax | 281-257-3369
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Authorized Official
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Title or Position | COO
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Name | MR. CHARLES ALLEN RIDGWAY
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Credential |
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Telephone | 281-257-3366
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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 | 010345
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License Number State | TX
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