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General NPI Number Information
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NPI Number | 1790098184
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Entity Type | Organization
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Legal Business Name | PHICO HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 7903 TRABAJO DR
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City | HOUSTON
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State | TX
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Zip | 77083-3753
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Country | US
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Telephone | 281-565-0671
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Fax | 281-565-7602
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Provider Business Mailing Address
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Address Line | 7457 HARWIN DRIVE SUITE 141
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 281-565-0671
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Fax | 281-565-7602
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR
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Name | JEFF IMOH
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Credential |
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Telephone | 281-565-0671
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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 | 251E00000X-HOME HEA-
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License Number State | TX
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