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General NPI Number Information
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NPI Number | 1730664038
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Entity Type | Organization
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Legal Business Name | OPEN HEART CARE NETWORK L,L,C
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 34614 LAKE SIDE DR
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City | BROOKSHIRE
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State | TX
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Zip | 77423-8933
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Country | US
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Telephone | 213-926-2240
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Fax | 281-934-1405
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Provider Business Mailing Address
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Address Line | 34614 LAKE SIDE DR
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City | BROOKSHIRE
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State | TX
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Zip | 77423-8933
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Country | US
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Telephone | 213-926-2240
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Fax | 281-934-1405
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Authorized Official
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Title or Position | OWNER
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Name | NATALIE TILLETT
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Credential |
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Telephone | 213-926-2240
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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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