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General NPI Number Information
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NPI Number | 1669695342
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Entity Type | Organization
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Legal Business Name | SUPERIOR INTEGRATED HOME HEALTH CARE, LTD.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 9720 BEECHNUT ST SUITE 282
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City | HOUSTON
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State | TX
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Zip | 77036-6562
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Country | US
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Telephone | 713-773-8115
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Fax | 713-773-9968
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Provider Business Mailing Address
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Address Line | 9555 W SAM HOUSTON PKWY S #315
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City | HOUSTON
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State | TX
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Zip | 77099
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Country | US
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Telephone | 713-773-9115
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Fax | 713-773-9968
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CHERYL N BEAUSOLEIL
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Credential | RN
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Telephone | 713-773-9115
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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 | 679511
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010063
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License Number State | TX
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