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General NPI Number Information
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NPI Number | 1376870907
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Entity Type | Organization
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Legal Business Name | SECOND CHANCE HOME HEALTHCARE
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 7520 COFFEE ST
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City | HOUSTON
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State | TX
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Zip | 77033-3552
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Country | US
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Telephone | 832-881-7567
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Fax | 713-731-8354
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Provider Business Mailing Address
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Address Line | 7520 COFFEE ST
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City | HOUSTON
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State | TX
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Zip | 77033-3552
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Country | US
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Telephone | 832-881-7567
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Fax | 713-731-8354
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SANDRA KAY DANIELS
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Credential | LICENSE HOLDER
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Telephone | 832-881-7567
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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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