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General NPI Number Information
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NPI Number | 1518029123
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Entity Type | Organization
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Legal Business Name | OUTREACH FOR THE AGED INC.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6400 WEST LITTLE YORK STE. #104
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City | HOUSTON
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State | TX
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Zip | 77091
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Country | US
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Telephone | 832-868-6339
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Fax | 281-342-3376
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Provider Business Mailing Address
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Address Line | 6400 W LITTLE YORK RD STE.# 104
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City | HOUSTON
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State | TX
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Zip | 77091-1110
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Country | US
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Telephone | 832-868-6339
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Fax | 281-342-3376
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS BETTY JO SANDERS
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Credential | NURSE
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Telephone | 832-868-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 332B00000X
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License Number State | TX
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