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General NPI Number Information
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NPI Number | 1194024430
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Entity Type | Organization
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Legal Business Name | ABUNDANCE PRIVATE CARE, INC.
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 2600 S LOOP W STE 295
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City | HOUSTON
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State | TX
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Zip | 77054-2668
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Country | US
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Telephone | 281-888-0276
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Fax | 281-888-0276
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Provider Business Mailing Address
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Address Line | 6001 REIMS RD APT 108
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City | HOUSTON
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State | TX
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Zip | 77036-3015
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Country | US
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Telephone | 281-888-0276
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Fax | 281-888-0276
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Authorized Official
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Title or Position | CEO
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Name | VIVIEN BAKARE
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Credential |
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Telephone | 832-638-9582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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