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General NPI Number Information
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NPI Number | 1821488974
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Entity Type | Organization
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Legal Business Name | CENTURY CARE SERVICES
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Dates
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Enumeration Date | 01/28/2015
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 12911 HANSEL LN
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City | HOUSTON
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State | TX
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Zip | 77024-4720
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Country | US
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Telephone | 713-598-5806
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Fax |
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Provider Business Mailing Address
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Address Line | 12911 HANSEL LN
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City | HOUSTON
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State | TX
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Zip | 77024-4720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. IRINA PUKHOVICH
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Credential |
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Telephone | 713-598-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 32056176251
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License Number State |
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