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General NPI Number Information
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NPI Number | 1588716013
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Entity Type | Organization
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Legal Business Name | JAMES DIALA
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 10101 HARWIN DR SUITE 210
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City | HOUSTON
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State | TX
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Zip | 77036-1687
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Country | US
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Telephone | 713-541-3877
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Fax | 713-541-3879
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Provider Business Mailing Address
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Address Line | 10101 HARWIN DRIVE SUITE 210
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City | HOUSTON
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State | TX
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Zip | 77036-1740
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Country | US
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Telephone | 713-541-3877
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Fax | 713-541-3879
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JAMES IBE DIALA
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Credential | MS
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Telephone | 713-541-3877
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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 | 006521
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License Number State | TX
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