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General NPI Number Information
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NPI Number | 1467884064
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Entity Type | Organization
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Legal Business Name | INNOVATIVE NURSING SYSTEMS INC
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 5959 WEST LOOP S STE 215
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City | BELLAIRE
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State | TX
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Zip | 77401-2420
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Country | US
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Telephone | 713-523-2329
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Fax |
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Provider Business Mailing Address
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Address Line | 5959 WEST LOOP S STE 215
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City | BELLAIRE
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State | TX
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Zip | 77401-2420
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Country | US
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Telephone | 713-523-2329
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SUSAN DAVIS
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Credential |
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Telephone | 713-523-2329
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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 | 003392
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License Number State | TX
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