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General NPI Number Information
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NPI Number | 1669576153
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Entity Type | Organization
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Legal Business Name | BENNYBRIGHT HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 13210 OLD RICHMOND RD UNIT 95
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City | HOUSTON
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State | TX
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Zip | 77083-6418
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Country | US
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Telephone | 713-855-5782
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Fax | 281-879-5912
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Provider Business Mailing Address
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Address Line | 13210 OLD RICHMOND RD UNIT 95
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City | HOUSTON
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State | TX
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Zip | 77083-6418
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Country | US
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Telephone | 713-855-5782
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Fax | 281-879-5912
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN ETUK
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Credential |
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Telephone | 713-855-5782
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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 | 010594
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License Number State | TX
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