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General NPI Number Information
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NPI Number | 1568507226
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Entity Type | Organization
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Legal Business Name | HERITAGE HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9343 NORTH LOOP E SUITE 411
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City | HOUSTON
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State | TX
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Zip | 77029-1251
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Country | US
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Telephone | 713-271-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 9343 NORTH LOOP E SUITE 411
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City | HOUSTON
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State | TX
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Zip | 77029-1251
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Country | US
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Telephone | 713-271-5599
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MAE HENDRIX
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Credential |
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Telephone | 832-724-1329
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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 | 101111
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License Number State | TX
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