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General NPI Number Information
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NPI Number | 1225435985
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Entity Type | Organization
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Legal Business Name | GOAL, INC.
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 800 WILCREST DR SUITE 204
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City | HOUSTON
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State | TX
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Zip | 77042-6301
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Country | US
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Telephone | 281-501-0530
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6925
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City | KATY
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State | TX
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Zip | 77491-6925
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Country | US
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Telephone | 281-501-0530
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | D'JUAN BAHAM
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Credential |
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Telephone | 281-501-0530
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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 | TX
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