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General NPI Number Information
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NPI Number | 1366624041
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Entity Type | Organization
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Legal Business Name | XTRA - CARE HOME HEALTH INC
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 9894 BISSONNET ST 575
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City | HOUSTON
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State | TX
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Zip | 77036-8239
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Country | US
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Telephone | 713-270-1160
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Fax | 713-270-1190
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Provider Business Mailing Address
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Address Line | 9894 BISSONNET ST 575
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City | HOUSTON
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State | TX
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Zip | 77036-8239
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Country | US
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Telephone | 713-270-1160
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Fax | 713-270-1190
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
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Name | MRS. ROSEMARY CHINYELUM UWAEZUOKE
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Credential |
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Telephone | 713-270-1160
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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 | 012316
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License Number State | TX
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