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NPI 1366694432

NPI 1366694432 : GET WELL HOME HEALTH SERVICES OF HOUSTON, INC. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1366694432
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    Entity Type          |    Organization 
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    Legal Business Name  |    GET WELL HOME HEALTH SERVICES OF HOUSTON, INC. 
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Dates
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    Enumeration Date     |    10/21/2008
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    Last Update Date     |    10/21/2008
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Provider Practice Location Address
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    Address Line         |    10134 OBOE DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77025-5427
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    Country              |    US
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    Telephone            |    713-560-6075
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    Fax                  |    713-729-5693
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Provider Business Mailing Address
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    Address Line         |    10134 OBOE DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77025-5427
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    Country              |    US
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    Telephone            |    713-560-6075
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    Fax                  |    713-729-5693
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |    MR. REGINO M DANCEL JR.
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    Credential           |    
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    Telephone            |    713-560-6075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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    License Number       |    011655
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    License Number State |    TX
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