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General NPI Number Information
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NPI Number | 1679520761
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Entity Type | Organization
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Legal Business Name | DYNAMIC CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 10333 HARWIN DR STE 435
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City | HOUSTON
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State | TX
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Zip | 77036-1794
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Country | US
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Telephone | 346-320-4951
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Fax | 346-320-4953
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Provider Business Mailing Address
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Address Line | 10333 HARWIN DR STE 435
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City | HOUSTON
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State | TX
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Zip | 77036-1794
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Country | US
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Telephone | 346-320-4951
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Fax | 346-320-4953
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GLORIA OGUNTUASE
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Credential |
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Telephone | 346-320-4951
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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 | 015583
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License Number State | TX
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