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General NPI Number Information
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NPI Number | 1639489362
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Entity Type | Organization
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Legal Business Name | AARON HEALTH SERVICES
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 1910 MOSSY POINT COURT
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City | ROSENBERG
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State | TX
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Zip | 77469
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Country | US
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Telephone | 281-712-1118
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Fax | 281-712-1116
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Provider Business Mailing Address
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Address Line | 1910 MOSSY POINT COURT
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City | ROSENBERG
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State | TX
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Zip | 77469
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Country | US
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Telephone | 281-712-1118
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Fax | 281-712-1116
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | IRENE IKHIDERO-ABGEBAKU
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Credential | R.N.
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Telephone | 832-563-4722
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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 | 647825
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License Number State | TX
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