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General NPI Number Information
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NPI Number | 1669561882
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Entity Type | Organization
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Legal Business Name | PRESTIGE CARE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 8313 SOUTHWEST FWY SUITE 235
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City | HOUSTON
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State | TX
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Zip | 77074-1613
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Country | US
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Telephone | 713-271-0105
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Fax | 713-271-0190
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Provider Business Mailing Address
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Address Line | 8313 SOUTHWEST FWY SUITE 235
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City | HOUSTON
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State | TX
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Zip | 77074-1613
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Country | US
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Telephone | 713-271-0105
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Fax | 713-271-0190
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DENISE HUFF
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Credential | R.N.
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Telephone | 713-271-0105
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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 | 007922
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License Number State | TX
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