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General NPI Number Information
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NPI Number | 1114305257
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Entity Type | Organization
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Legal Business Name | GABROTA,INC, DBA AMADA SENIOR CARE KATY
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 16225 PARK TEN PL SUITE 500
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City | HOUSTON
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State | TX
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Zip | 77084-5138
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Country | US
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Telephone | 713-395-4000
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Fax | 713-338-3410
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Provider Business Mailing Address
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Address Line | 111 DAVID FOREST LN
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City | CONROE
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State | TX
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Zip | 77384-3738
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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 | RICKEY BOYSAW
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Credential |
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Telephone | 713-395-4000
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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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