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General NPI Number Information
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NPI Number | 1700470119
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Entity Type | Organization
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Legal Business Name | HOUSTON HOME CARE LLC
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 11201 RICHMOND AVE STE A110
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City | HOUSTON
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State | TX
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Zip | 77082-6653
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Country | US
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Telephone | 832-379-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 11201 RICHMOND AVE STE A110
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City | HOUSTON
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State | TX
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Zip | 77082-6653
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Country | US
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Telephone | 832-379-4700
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | IBRAHIM ABOUSAWAN
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Credential |
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Telephone | 832-466-5590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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