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General NPI Number Information
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NPI Number | 1265960363
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Entity Type | Organization
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Legal Business Name | DAVID AND LY, LLC.
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 06/01/2017
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Provider Practice Location Address
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Address Line | 4916 W 34TH ST # A
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City | HOUSTON
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State | TX
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Zip | 77092-6606
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Country | US
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Telephone | 832-867-3571
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Fax |
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Provider Business Mailing Address
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Address Line | 8230 TWIN TREE LN
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City | HOUSTON
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State | TX
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Zip | 77071-2918
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Country | US
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Telephone | 832-867-3571
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DAVID LEE LATTIN
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Credential |
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Telephone | 832-867-3571
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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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