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General NPI Number Information
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NPI Number | 1437465960
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Entity Type | Organization
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Legal Business Name | DA LUIS HOME CARE LLC
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Dates
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Enumeration Date | 08/22/2010
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 14525 FM 529 STE. 104
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City | HOUSTON
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State | TX
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Zip | 77095-3596
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Country | US
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Telephone | 281-855-2300
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Fax | 281-855-2310
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Provider Business Mailing Address
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Address Line | 14525 FM 529 STE. 104
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City | HOUSTON
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State | TX
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Zip | 77095-3596
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Country | US
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Telephone | 281-855-2300
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Fax | 281-855-2310
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR/SUPERVISING NUR
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Name | MRS. SHIRRA ANNE HERRON
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Credential | RN
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Telephone | 281-855-2300
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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 | N/A
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 013820
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License Number State | TX
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