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General NPI Number Information
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NPI Number | 1386682573
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Entity Type | Organization
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Legal Business Name | OAKSHADOWS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 4801 ALLENDALE RD
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City | HOUSTON
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State | TX
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Zip | 77017-5421
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Country | US
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Telephone | 713-946-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 410 MONMOUTH AVE SUITE 130
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3711
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | JUDY ULLER
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Credential | RN
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Telephone | 713-946-9393
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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 | 009410
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License Number State | TX
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