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General NPI Number Information
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NPI Number | 1588958235
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Entity Type | Organization
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Legal Business Name | VISIBLE IMAGE
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Dates
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Enumeration Date | 05/29/2011
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Last Update Date | 05/29/2011
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Provider Practice Location Address
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Address Line | 6201 BONHOMME RD SUITE 388N
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 713-785-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 15350 E HUTCHINSON CIR
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City | HOUSTON
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State | TX
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Zip | 77071-3328
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Country | US
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Telephone | 713-373-6775
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GERALD MCWILLIAMS
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Credential |
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Telephone | 713-373-6775
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 801126049
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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