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General NPI Number Information
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NPI Number | 1679852594
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Entity Type | Organization
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Legal Business Name | HOME HEALTH PLACEMENT
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 14750 AUTUMN GLEN CT
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City | CYPRESS
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State | TX
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Zip | 77429-8097
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Country | US
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Telephone | 281-763-8358
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Fax | 866-564-4156
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Provider Business Mailing Address
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Address Line | 14750 AUTUMN GLEN CT
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City | CYPRESS
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State | TX
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Zip | 77429-8097
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Country | US
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Telephone | 281-763-8358
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Fax | 866-564-4156
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Authorized Official
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Title or Position | OWNER
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Name | MARK S PETTIES
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Credential |
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Telephone | 281-213-2988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | R197092
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License Number State | TX
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