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General NPI Number Information
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NPI Number | 1710150404
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Entity Type | Organization
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Legal Business Name | 1ST GOVERNMENT HEALTHCARE,INC.
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 7447 HARWIN DR SUITE 216
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City | HOUSTON
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State | TX
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Zip | 77036-2016
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Country | US
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Telephone | 713-275-0979
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Fax | 713-275-0924
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Provider Business Mailing Address
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Address Line | 7447 HARWIN DR SUITE 216
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City | HOUSTON
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State | TX
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Zip | 77036-2016
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Country | US
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Telephone | 713-750-9797
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Fax | 713-750-9249
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Authorized Official
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Title or Position | MANAGER
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Name | MATTHEW MBA
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Credential |
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Telephone | 713-750-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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