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General NPI Number Information
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NPI Number | 1710960059
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Entity Type | Organization
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Legal Business Name | HOME CARE OF FIDELITY
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4615 SOUTHWEST FWY STE 479
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City | HOUSTON
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State | TX
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Zip | 77027-7108
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Country | US
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Telephone | 713-365-9121
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Fax | 713-365-9120
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Provider Business Mailing Address
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Address Line | 22815 PARKWALK LN
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City | KATY
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State | TX
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Zip | 77494-4451
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Country | US
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Telephone | 713-365-9121
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Fax | 713-365-9120
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Authorized Official
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Title or Position | OWNER
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Name | MR. AVERY ERIC OBLEPIAS
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Credential |
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Telephone | 713-365-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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