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NPI 1235768706

NPI 1235768706 : WITTY HEALTH, INC. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1235768706
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    Entity Type          |    Organization 
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    Legal Business Name  |    WITTY HEALTH, INC. 
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Dates
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    Enumeration Date     |    04/06/2020
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    Last Update Date     |    04/06/2020
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Provider Practice Location Address
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    Address Line         |    5850 SAN FELIPE ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77057-3070
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    Country              |    US
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    Telephone            |    713-470-2580
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    Fax                  |    713-496-9264
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Provider Business Mailing Address
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    Address Line         |    5850 SAN FELIPE ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77057-3070
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    Country              |    US
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    Telephone            |    713-470-2580
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    Fax                  |    713-496-9264
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Authorized Official
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    Title or Position    |    CO-FOUNDER, CHIEF OPERATING OFFICER
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    Name                 |     WHITNEY  AHNEMAN 
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    Credential           |    RD, MBA
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    Telephone            |    203-550-1062
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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        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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