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General NPI Number Information
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NPI Number | 1760826416
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Entity Type | Organization
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Legal Business Name | PRJ HOME HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 24702 PLYMPTON DR
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City | KATY
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State | TX
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Zip | 77494-6131
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Country | US
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Telephone | 832-332-7235
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Fax |
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Provider Business Mailing Address
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Address Line | 10333 HARWIN DR 325
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City | HOUSTON
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State | TX
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Zip | 77036-1545
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Country | US
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Telephone | 832-332-7235
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Fax | 866-493-4007
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Authorized Official
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Title or Position | RN DON
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Name | MRS. PRECIOUS D JOHNSON
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Credential |
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Telephone | 832-332-7235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | TX
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