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General NPI Number Information
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NPI Number | 1376612762
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Entity Type | Organization
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Legal Business Name | HOUSTON HOMECARE LLC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 5450 NW CENTRAL DR STE. 110
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City | HOUSTON
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State | TX
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Zip | 77092-2017
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Country | US
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Telephone | 713-956-6000
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Fax | 713-956-0902
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Provider Business Mailing Address
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Address Line | 5450 NW CENTRAL DR STE. 110
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City | HOUSTON
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State | TX
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Zip | 77092-2017
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Country | US
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Telephone | 713-956-6000
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Fax | 713-956-0902
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAVID MORENO
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Credential |
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Telephone | 713-956-6000
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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 | 015806
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License Number State | TX
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