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General NPI Number Information
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NPI Number | 1497033674
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Entity Type | Organization
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Legal Business Name | MINOR HOME HEALTHCARE & HOUSEKEEPING ASSOCIATES
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 2730 HWY 12 STE. 2
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City | VIDOR
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State | TX
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Zip | 77662
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Country | US
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Telephone | 409-769-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 HWY 12 STE. 2
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City | VIDOR
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State | TX
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Zip | 77662
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Country | US
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Telephone | 409-769-1400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONIA LOUISE PARLIER
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Credential |
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Telephone | 409-769-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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