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General NPI Number Information
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NPI Number | 1740685783
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Entity Type | Organization
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Legal Business Name | CITITRANS
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 13031 WIREVINE LN
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City | HOUSTON
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State | TX
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Zip | 77072-2158
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Country | US
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Telephone | 310-467-7942
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Fax | 281-402-8005
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Provider Business Mailing Address
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Address Line | 13031 WIREVINE LN
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City | HOUSTON
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State | TX
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Zip | 77072-2158
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Country | US
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Telephone | 310-467-7942
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Fax | 281-402-8005
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN BASSEY MAKANJUOLA
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Credential |
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Telephone | 310-467-7942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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