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General NPI Number Information
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NPI Number | 1548213432
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Entity Type | Organization
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Legal Business Name | COLONIAL HEALTHCARE INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 11970 WILCREST DR 103
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City | HOUSTON
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State | TX
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Zip | 77031-1923
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Country | US
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Telephone | 281-988-6500
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Fax | 281-988-6500
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Provider Business Mailing Address
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Address Line | 11970 WILCREST DR 103
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City | HOUSTON
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State | TX
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Zip | 77031-1923
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Country | US
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Telephone | 281-988-6500
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Fax | 281-988-6502
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Authorized Official
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Title or Position | ADM / DON
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Name | MS. ADEYINKA OLUBANKE OKUNUBI
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Credential | REGISTERED NURSE
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Telephone | 713-988-3100
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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 | 614340
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License Number State | TX
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