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General NPI Number Information
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NPI Number | 1306480694
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Entity Type | Organization
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Legal Business Name | INNOVISION HOSPICE CARE, INC.
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 9900 WESTPARK DR STE 275
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City | HOUSTON
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State | TX
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Zip | 77063-5285
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Country | US
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Telephone | 832-582-8980
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Fax | 832-582-8649
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Provider Business Mailing Address
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Address Line | 9900 WESTPARK DR STE 275
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City | HOUSTON
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State | TX
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Zip | 77063-5285
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Country | US
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Telephone | 832-582-8980
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Fax | 832-582-8649
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SALEEM B SHAKOOR
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Credential |
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Telephone | 248-866-8745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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