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General NPI Number Information
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NPI Number | 1750579264
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Entity Type | Organization
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Legal Business Name | SANDRA K JENDI
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 530 OLDCASTLE ST
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City | HOUSTON
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State | TX
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Zip | 77013-5323
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Country | US
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Telephone | 713-206-7118
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Fax | 713-670-7700
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Provider Business Mailing Address
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Address Line | 530 OLDCASTLE ST
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City | HOUSTON
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State | TX
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Zip | 77013-5323
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Country | US
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Telephone | 713-206-7118
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Fax | 713-670-7700
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MS. SANDRA KAY JENDI
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Credential | REGISTERED NURSE
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Telephone | 713-206-7118
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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 | 011613
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License Number State | TX
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