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General NPI Number Information
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NPI Number | 1669747168
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Entity Type | Organization
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Legal Business Name | QUAIL HOME HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 1320 HIGHWAY 90 E
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City | SEALY
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State | TX
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Zip | 77474-1928
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Country | US
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Telephone | 979-627-7114
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Fax | 979-627-7123
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Provider Business Mailing Address
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Address Line | 1320 HIGHWAY 90 E
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City | SEALY
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State | TX
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Zip | 77474-1928
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SAM KESHINRO
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Credential |
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Telephone | 281-822-2882
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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 |
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License Number State |
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