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General NPI Number Information
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NPI Number | 1114203106
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Entity Type | Organization
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Legal Business Name | HIS ARMS INC
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Dates
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Enumeration Date | 10/23/2011
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Last Update Date | 10/23/2011
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Provider Practice Location Address
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Address Line | 1211 LAVENDER SHADE CT
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City | HOUSTON
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State | TX
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Zip | 77073-6155
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Country | US
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Telephone | 832-657-5647
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Fax | 281-866-8724
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Provider Business Mailing Address
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Address Line | 2502 RIDGE HOLLOW DR
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City | HOUSTON
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State | TX
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Zip | 77067-2019
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Country | US
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Telephone | 832-657-5647
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Fax | 281-866-8724
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | LAWANZA LASHON NELMS
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Credential | RN
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Telephone | 832-657-5647
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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 | 80149107
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License Number State | TX
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