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General NPI Number Information
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NPI Number | 1265809529
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Entity Type | Organization
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Legal Business Name | CAREING FOR AMERICA EXTENDED SERVICE, LLC
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Dates
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Enumeration Date | 08/21/2015
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 3730 FM 1960 RD W SITE 210
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City | HOUSTON
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State | TX
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Zip | 77068-3530
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Country | US
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Telephone | 832-695-5777
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Fax | 713-695-8339
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Provider Business Mailing Address
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Address Line | 3730 FM 1960 RD W SITE 210
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City | HOUSTON
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State | TX
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Zip | 77068-3530
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Country | US
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Telephone | 832-695-5777
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Fax | 713-695-8339
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE A SMITH
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Credential |
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Telephone | 832-695-5777
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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 | 02249981
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License Number State | TX
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