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General NPI Number Information
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NPI Number | 1730402868
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Entity Type | Organization
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Legal Business Name | PRO-INTENSIVE HOME HEALTH CARE
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 9638 WELDRIDGE DR
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City | SUGAR LAND
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State | TX
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Zip | 77498-4510
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Country | US
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Telephone | 713-854-1593
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Fax | 832-328-1503
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Provider Business Mailing Address
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Address Line | 9638 WELDRIDGE DRIVE
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City | SUGARLAND
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State | TX
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Zip | 77498-4510
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Country | US
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Telephone |
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Fax | 832-328-1503
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SAMUEL E OHAEGBULEM
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Credential | RN
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Telephone | 713-854-1593
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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 |
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