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General NPI Number Information
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NPI Number | 1386741544
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Entity Type | Organization
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Legal Business Name | DYNACARE HEALTH SOLUTIONS, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2646 SOUTH LOOP W SUITE 380
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City | HOUSTON
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State | TX
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Zip | 77054-2665
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Country | US
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Telephone | 317-662-0300
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Fax | 713-668-9412
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Provider Business Mailing Address
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Address Line | 2646 SOUTH LOOP W SUITE 380
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City | HOUSTON
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State | TX
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Zip | 77054-2665
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Country | US
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Telephone | 317-662-0300
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Fax | 713-668-9412
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Authorized Official
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Title or Position | CEO
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Name | MS. JULIET NWAKEJU NWOSU
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Credential | LVN
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Telephone | 713-662-0300
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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 | 010592
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License Number State | TX
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