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General NPI Number Information
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NPI Number | 1437770088
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Entity Type | Organization
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Legal Business Name | THE BISMACK
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 8408 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77083-5707
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Country | US
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Telephone | 281-940-9184
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Fax |
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Provider Business Mailing Address
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Address Line | 14835 WALBROOK DR
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City | SUGAR LAND
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State | TX
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Zip | 77498-1019
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Country | US
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Telephone | 832-348-7062
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | UCHE ANIMADU
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Credential |
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Telephone | 281-940-9184
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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 |
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License Number State |
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