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General NPI Number Information
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NPI Number | 1366798894
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Entity Type | Organization
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Legal Business Name | DIAMOND PERSONAL CAREGIVERS
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 12850 WHITTINGTON DR 105
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City | HOUSTON
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State | TX
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Zip | 77077-4754
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Country | US
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Telephone | 281-605-0781
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Fax | 832-251-3200
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Provider Business Mailing Address
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Address Line | PO BOX 770366
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City | HOUSTON
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State | TX
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Zip | 77215-0366
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Country | US
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Telephone | 281-605-0781
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHINYERE TARVER
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Credential | B.S, G.E.D
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Telephone | 713-398-7618
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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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