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General NPI Number Information
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NPI Number | 1740213065
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Entity Type | Organization
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Legal Business Name | ROSE N ENYIOMA
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 8449 W BELLFORT ST STE #260
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City | HOUSTON
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State | TX
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Zip | 77071-2245
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Country | US
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Telephone | 713-774-9300
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Fax | 713-774-9301
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Provider Business Mailing Address
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Address Line | 8449 W BELLFORT ST. STE #260
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City | HOUSTON
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State | TX
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Zip | 77071-2245
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Country | US
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Telephone | 713-774-9300
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Fax | 713-774-9301
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ROSE N ENYIOMA
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Credential | RN
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Telephone | 713-774-9300
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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 | 009225
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License Number State | TX
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