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General NPI Number Information
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NPI Number | 1326209487
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Entity Type | Organization
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Legal Business Name | EASTGATE HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 06/21/2008
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 9100 SOUTHWEST FWY STE 249
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City | HOUSTON
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State | TX
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Zip | 77074-1524
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Country | US
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Telephone | 832-446-6980
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Fax | 832-446-6978
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Provider Business Mailing Address
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Address Line | 9100 SOUTHWEST FWY STE 249
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City | HOUSTON
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State | TX
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Zip | 77074-1524
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Country | US
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Telephone | 832-446-6980
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Fax | 832-446-6978
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHINEDU E OKWARA
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Credential | BS
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Telephone | 832-446-6980
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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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