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General NPI Number Information
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NPI Number | 1174603187
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Entity Type | Organization
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Legal Business Name | DANGLEN, INCORPORATED
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 5870 HIGHWAY 6 N STE 214
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City | HOUSTON
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State | TX
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Zip | 77084-1802
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Country | US
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Telephone | 281-957-9516
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Fax | 281-309-0109
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Provider Business Mailing Address
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Address Line | 5870 HIGHWAY 6 N STE 214
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City | HOUSTON
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State | TX
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Zip | 77084-1802
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Country | US
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Telephone | 281-957-9516
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Fax | 281-309-0109
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CAROLYN A WALDREP
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Credential | REGISTERED NURSE
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Telephone | 281-957-9516
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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 | 67-9008
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 007403
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License Number State | TX
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