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General NPI Number Information
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NPI Number | 1629303862
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Entity Type | Organization
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Legal Business Name | EXQUISITE HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 10/06/2009
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 19546 OTTER TRAIL COURT
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City | KATY
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State | TX
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Zip | 77449
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Country | US
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Telephone | 713-870-4208
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Fax | 281-550-2294
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Provider Business Mailing Address
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Address Line | 19546 OTTER TRAIL CT
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City | KATY
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State | TX
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Zip | 77449-4552
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Country | US
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Telephone | 713-870-4208
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Fax | 281-550-2294
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MRS. STELLA OBIAGELI NEBO
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Credential | RN
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Telephone | 713-870-4208
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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 | 012562
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License Number State | TX
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