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General NPI Number Information
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NPI Number | 1629029855
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Entity Type | Organization
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Legal Business Name | TEAMCARE HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 2626 S LOOP W 562
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-838-1105
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Fax | 713-838-8686
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Provider Business Mailing Address
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Address Line | PO BOX 771102
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City | HOUSTON
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State | TX
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Zip | 77215-1102
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Country | US
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Telephone | 713-838-1105
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Fax | 713-838-8686
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. IBIM B BOBMANUEL
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Credential |
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Telephone | 713-838-1105
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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 | 008353
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License Number State | TX
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