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General NPI Number Information
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NPI Number | 1215583489
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Entity Type | Organization
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Legal Business Name | VIV HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 2100 WEST LOOP S STE 900NO833
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City | HOUSTON
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State | TX
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Zip | 77027-3515
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Country | US
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Telephone | 404-484-8912
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Fax |
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Provider Business Mailing Address
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Address Line | 5014 PEEBLES DR
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City | HOUSTON
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State | TX
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Zip | 77084-2640
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VITOS ST. ROSE
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Credential |
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Telephone | 404-441-1397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 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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