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General NPI Number Information
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NPI Number | 1437672706
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Entity Type | Organization
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Legal Business Name | KATY HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 20902 TORRENCE FALLS CT
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City | KATY
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State | TX
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Zip | 77449-0112
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Country | US
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Telephone | 713-401-8309
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Fax |
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Provider Business Mailing Address
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Address Line | 20902 TORRENCE FALLS CT
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City | KATY
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State | TX
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Zip | 77449-0112
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Country | US
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Telephone | 713-401-8309
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TARIRO MAKWANGUDZE
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Credential |
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Telephone | 713-401-8309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 018045
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License Number State | TX
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