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General NPI Number Information
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NPI Number | 1306143938
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Entity Type | Organization
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Legal Business Name | ABEQ HOME HEALTH INC
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 13740 N HIGHWAY 183 BUILDING H, UNIT 1
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City | AUSTIN
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State | TX
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Zip | 78750-1884
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Country | US
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Telephone | 512-250-8848
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Fax | 512-250-8896
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Provider Business Mailing Address
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Address Line | 2006 CARRIAGE CLUB DR
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City | CEDAR PARK
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State | TX
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Zip | 78613-7188
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ANGELA N NJOKU
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Credential | RN
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Telephone | 512-788-4160
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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 | 014274
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License Number State | TX
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