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General NPI Number Information
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NPI Number | 1205161312
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Entity Type | Organization
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Legal Business Name | STEADFAST HEALTHCARE LLC
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 13311 ARLON TRL
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City | HOUSTON
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State | TX
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Zip | 77082-3475
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Country | US
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Telephone | 832-641-9713
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Fax | 281-531-7645
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Provider Business Mailing Address
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Address Line | 13311 ARLON TRL
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City | HOUSTON
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State | TX
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Zip | 77082-3475
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Country | US
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Telephone | 832-641-9713
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Fax | 281-531-7645
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Authorized Official
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Title or Position | DON/ADMINISTRATOR
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Name | REGINA VESE
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Credential | RN
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Telephone | 832-641-9713
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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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