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General NPI Number Information
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NPI Number | 1639107725
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Entity Type | Organization
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Legal Business Name | THE FOUR GROUP HOME CARE LLC
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 4615 SOUTHWEST FWY STE 630
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City | HOUSTON
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State | TX
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Zip | 77027-7176
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Country | US
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Telephone | 713-840-1811
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Fax | 713-840-1822
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Provider Business Mailing Address
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Address Line | 4635 SOUTHWEST FWY STE 360
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City | HOUSTON
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State | TX
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Zip | 77027-7193
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Country | US
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Telephone | 713-840-1811
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Fax | 713-840-1822
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Authorized Official
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Title or Position | ADMINISTATOR
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Name | EMMANUEL CHIMA ONUOHA
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Credential |
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Telephone | 713-840-1811
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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 | 008157
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License Number State | TX
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