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General NPI Number Information
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NPI Number | 1790794071
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Entity Type | Organization
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Legal Business Name | FLANEL HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 301 SOUTH 9TH STREET SUITE #204
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City | RICHMOND
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State | TX
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Zip | 77469
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Country | US
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Telephone | 281-633-2800
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Fax | 281-633-2601
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Provider Business Mailing Address
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Address Line | 301 SOUTH 9TH STREET SUITE #204
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City | RICHMOND
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State | TX
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Zip | 77469
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Country | US
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Telephone | 281-633-2800
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Fax | 281-633-2601
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Authorized Official
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Title or Position | ADMINSTRATOR DON DIRECTOR OF NURSIN
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Name | MRS. ELIZABETH A BABALOLA
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Credential | RN
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Telephone | 281-633-2800
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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 | 010565
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License Number State | TX
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