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General NPI Number Information
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NPI Number | 1396134086
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Entity Type | Organization
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Legal Business Name | ENTERAL & VASCULAR HEALTH MANAGEMENT LLC
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Dates
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Enumeration Date | 01/18/2015
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Last Update Date | 01/18/2015
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Provider Practice Location Address
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Address Line | 1200 SMITH ST SUITE 1600
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City | HOUSTON
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State | TX
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Zip | 77002-4313
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Country | US
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Telephone | 832-491-3052
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 SMITH ST SUITE 1600
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City | HOUSTON
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State | TX
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Zip | 77002-4313
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Country | US
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Telephone | 832-491-3052
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/DIRECTOR
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Name | MR. REGINALD WHITTINGTON
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Credential | FNP-BC
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Telephone | 832-491-3052
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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 | AP124325
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License Number State | TX
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