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General NPI Number Information
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NPI Number | 1578895421
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Entity Type | Organization
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Legal Business Name | BARATON HEALTHCARE SERVICES
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 9896 BISSONNET ST STE 315
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City | HOUSTON
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State | TX
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Zip | 77036-8153
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Country | US
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Telephone | 713-400-8080
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Fax | 713-400-8081
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Provider Business Mailing Address
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Address Line | 9896 BISSONNET ST STE 315
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City | HOUSTON
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State | TX
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Zip | 77036-8153
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Country | US
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Telephone | 713-400-8080
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Fax | 713-400-8081
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MR. STEPHEN M MBOLA
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Credential | MR.
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Telephone | 713-400-8080
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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 | 011038
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License Number State | TX
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