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General NPI Number Information
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NPI Number | 1750533691
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Entity Type | Organization
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Legal Business Name | COSMEC HEALTH CARE RESOURCE, INC
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 8202 ASH GARDEN CT
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City | HOUSTON
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State | TX
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Zip | 77083-6518
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Country | US
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Telephone | 832-594-0983
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Fax | 281-242-2265
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Provider Business Mailing Address
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Address Line | 8202 ASH GARDEN CT
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City | HOUSTON
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State | TX
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Zip | 77083-6518
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Country | US
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Telephone | 832-594-0983
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Fax | 281-242-2265
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Authorized Official
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Title or Position | CEO
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Name | MRS. MONICA CHIOMA IGWE
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Credential | NURSE PRACTITIONER
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Telephone | 832-594-0983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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