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General NPI Number Information
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NPI Number | 1114975042
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Entity Type | Organization
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Legal Business Name | IHG HEALTHCARE, INC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 2325 TIMBER SHADOWS DR STE B
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City | KINGWOOD
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State | TX
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Zip | 77339-2028
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Country | US
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Telephone | 281-442-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 TIMBER SHADOWS DR STE B
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City | KINGWOOD
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State | TX
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Zip | 77339-2028
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Country | US
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Telephone | 281-442-8200
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Fax | 281-442-8201
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROMEO VILLARREAL JR.
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Credential | RN
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Telephone | 281-442-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 008780
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License Number State | TX
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