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General NPI Number Information
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NPI Number | 1427476308
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Entity Type | Organization
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Legal Business Name | LUCKY HEALTH CARE SERVICES INC.
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 10103 FONDREN RD SUIT # 460
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City | HOUSTON
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State | TX
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Zip | 77096-4556
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Country | US
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Telephone | 713-773-1066
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Fax | 713-773-0445
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Provider Business Mailing Address
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Address Line | 10103 FONDREN RD SUIT # 460
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City | HOUSTON
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State | TX
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Zip | 77096-4556
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Country | US
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Telephone | 713-773-1066
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Fax | 713-773-0445
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DANIEL OSUAGWU
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Credential |
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Telephone | 713-773-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 006749
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License Number State | TX
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