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General NPI Number Information
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NPI Number | 1497797732
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Entity Type | Organization
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Legal Business Name | WEST WYNDE HEALTH SERVICES INC.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 6201 BONHOMME RD 264
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 713-972-1902
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Fax | 713-972-0272
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Provider Business Mailing Address
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Address Line | 4707 KNIGHTS BRANCH DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-5335
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Country | US
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Telephone | 713-972-1902
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Fax | 713-972-0272
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MRS. GLADYS ORAGWU IBIK
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Credential | RN
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Telephone | 713-972-1902
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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 | 010643
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 007637
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License Number State | TX
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