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General NPI Number Information
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NPI Number | 1467641019
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Entity Type | Organization
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Legal Business Name | ALL- MODREN HEALTH CARE,INC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 2600 S LOOP W STE 105
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City | HOUSTON
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State | TX
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Zip | 77054-2603
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Country | US
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Telephone | 713-658-1000
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Fax | 713-777-7575
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Provider Business Mailing Address
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Address Line | 2600 S LOOP W STE 105
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City | HOUSTON
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State | TX
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Zip | 77054-2603
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Country | US
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Telephone | 713-658-1000
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Fax | 713-777-7575
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. VINCENT UZOMAH
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Credential |
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Telephone | 713-377-8764
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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 | 677870
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License Number State | TX
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