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General NPI Number Information
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NPI Number | 1679832554
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Entity Type | Organization
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Legal Business Name | ST CHARLES HOME HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 4434 BLUEBONNET DR SUITE 120
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City | STAFFORD
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State | TX
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Zip | 77477-2904
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Country | US
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Telephone | 832-276-6679
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Fax | 281-277-0664
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Provider Business Mailing Address
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Address Line | 4434 BLUEBONNET DR SUITE 120
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City | STAFFORD
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State | TX
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Zip | 77477-2904
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Country | US
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Telephone | 832-276-6679
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Fax | 281-277-0664
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHARLES OBIOMA
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Credential |
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Telephone | 832-276-6679
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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 | TX
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