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General NPI Number Information
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NPI Number | 1215918214
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Entity Type | Organization
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Legal Business Name | GLUCARE CORPORATION
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 8520 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77071-1108
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Country | US
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Telephone | 713-779-5673
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Fax | 713-779-7766
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Provider Business Mailing Address
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Address Line | 8520 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77071-1108
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Country | US
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Telephone | 713-779-5673
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Fax | 713-779-7766
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Authorized Official
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Title or Position | DIRECTOR/TREASURER
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Name | OFELIA C FLORES
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Credential |
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Telephone | 713-779-5673
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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 | 005497
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License Number State | TX
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