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General NPI Number Information
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NPI Number | 1609050327
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Entity Type | Organization
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Legal Business Name | ULTIMATE PEDIATRIC CARE INC
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1001 S DAIRY ASHFORD RD STE 320
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City | HOUSTON
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State | TX
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Zip | 77077-2846
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Country | US
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Telephone | 713-271-9010
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Fax | 713-271-0843
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Provider Business Mailing Address
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Address Line | 1001 S DAIRY ASHFORD RD STE 320
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City | HOUSTON
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State | TX
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Zip | 77077-2846
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Country | US
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Telephone | 713-271-9010
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Fax | 713-271-0843
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MERCY A NIMS
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Credential | BA
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Telephone | 713-271-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 001004810
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License Number State | TX
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