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General NPI Number Information
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NPI Number | 1447605373
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Entity Type | Organization
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Legal Business Name | XEN HOME CARE LLC
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 18314 TANGLE TREE LN
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City | HOUSTON
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State | TX
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Zip | 77084-7588
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Country | US
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Telephone | 832-974-3498
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Fax | 281-599-1247
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Provider Business Mailing Address
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Address Line | 18314 TANGLE TREE LN
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City | HOUSTON
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State | TX
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Zip | 77084-7588
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Country | US
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Telephone | 832-974-3498
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Fax | 281-599-1247
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | GUADALUPE PORRAS
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Credential |
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Telephone | 832-974-3498
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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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