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General NPI Number Information
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NPI Number | 1215449392
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Entity Type | Organization
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Legal Business Name | RAY HOME HEALTHCARE INC
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2201 W OREM DR APT 1117
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City | HOUSTON
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State | TX
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Zip | 77047-4771
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Country | US
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Telephone | 832-706-7166
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 W OREM DR APT 1117
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City | HOUSTON
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State | TX
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Zip | 77047-4771
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Country | US
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Telephone | 832-322-8700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. GWENDOLYN WASHINGTON
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Credential | PRESIDENT
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Telephone | 832-322-8700
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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 | 20877149
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License Number State | TX
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