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General NPI Number Information
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NPI Number | 1245529114
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Entity Type | Organization
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Legal Business Name | EMERSON HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 5708 ROCKPORT LN
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City | HALTOM CITY
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State | TX
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Zip | 76137-2123
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Country | US
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Telephone | 817-724-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 5708 ROCKPORT LN
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City | HALTOM CITY
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State | TX
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Zip | 76137-2123
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Country | US
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Telephone | 817-724-3777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ELIZABETH UGOJI OSONDU
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Credential | JP
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Telephone | 817-724-3777
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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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