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General NPI Number Information
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NPI Number | 1477650737
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Entity Type | Organization
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Legal Business Name | HARBOUR HOMECARE NURSING AND REHAB
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1101 PALMETTO AVE # A
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City | ROCKPORT
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State | TX
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Zip | 78382-7301
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Country | US
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Telephone | 361-790-9001
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Fax | 361-790-9003
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Provider Business Mailing Address
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Address Line | 1109 HIGHWAY 35 N
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City | ROCKPORT
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State | TX
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Zip | 78382-3120
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Country | US
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Telephone | 361-790-9001
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Fax | 361-790-9003
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Authorized Official
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Title or Position | ADMINBISTRATOR
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Name | MR. JON WAYNE HUNT
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Credential | RN
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Telephone | 361-790-9001
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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 | 630727
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License Number State | TX
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