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General NPI Number Information
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NPI Number | 1194157594
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Entity Type | Organization
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Legal Business Name | AVIVA HOME HEALTH INCORPORATED
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 2550 RYAN ST SUITE B
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City | BRENHAM
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State | TX
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Zip | 77833-5883
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Country | US
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Telephone | 979-353-1240
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Fax | 979-383-2210
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Provider Business Mailing Address
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Address Line | 2550 RYAN ST SUITE B
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City | BRENHAM
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State | TX
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Zip | 77833-5883
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Country | US
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Telephone | 979-353-1240
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Fax | 979-383-2210
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Authorized Official
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Title or Position | DIRECTOR
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Name | JULIETTE M EKI
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Credential |
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Telephone | 713-955-8670
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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 |
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License Number State |
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