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General NPI Number Information
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NPI Number | 1396794335
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Entity Type | Organization
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Legal Business Name | ROSEMARY MCMOMMON
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 17150 BUTTE CREEK RD STE. 145
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City | HOUSTON
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State | TX
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Zip | 77090-2371
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Country | US
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Telephone | 832-484-1737
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Fax | 832-484-1739
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Provider Business Mailing Address
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Address Line | 17150 BUTTE CREEK RD STE. 145
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City | HOUSTON
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State | TX
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Zip | 77090-2371
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Country | US
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Telephone | 832-484-1737
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Fax | 832-484-1739
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROSEMARY MCCOMMON
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Credential |
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Telephone | 832-484-1737
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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 | 009702
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License Number State | TX
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