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General NPI Number Information
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NPI Number | 1265610984
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Entity Type | Organization
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Legal Business Name | SABINA HOME HEALTH AGENCY
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 6901 N LAMAR BLVD SUITE 140
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City | AUSTIN
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State | TX
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Zip | 78752-3529
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Country | US
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Telephone | 512-452-8100
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Fax | 512-452-8102
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Provider Business Mailing Address
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Address Line | 6901 N LAMAR BLVD SUITE 140
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City | AUSTIN
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State | TX
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Zip | 78752-3529
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Country | US
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Telephone | 512-452-8100
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Fax | 512-452-8102
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Authorized Official
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Title or Position | ADMINISTRATOR/SUPERVISING NURSE
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Name | MS. VIVIAN O EZURUIKE
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Credential | REGISTERED NURSE
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Telephone | 512-452-8100
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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 |
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