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General NPI Number Information
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NPI Number | 1437155454
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Entity Type | Organization
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Legal Business Name | DIAMOND HOME HEALTH INC.
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 14780 MEMORIAL DR STE 202C
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City | HOUSTON
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State | TX
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Zip | 77079-5284
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Country | US
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Telephone | 281-920-9805
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Fax | 281-920-9812
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Provider Business Mailing Address
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Address Line | 14780 MEMORIAL DR STE 202C
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City | HOUSTON
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State | TX
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Zip | 77079-5284
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Country | US
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Telephone | 281-920-9805
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Fax | 281-920-9812
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Authorized Official
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Title or Position | CEO
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Name | NIKKI AFSAR MOTAZEDIAN
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Credential |
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Telephone | 281-920-9805
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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 | 007796
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License Number State | TX
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