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General NPI Number Information
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NPI Number | 1831819788
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Entity Type | Organization
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Legal Business Name | AVEENA HEALTH LLC.
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 13978 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77077-5359
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Country | US
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Telephone | 832-279-9406
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Fax | 281-343-3001
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Provider Business Mailing Address
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Address Line | 13978 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77077-5359
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Country | US
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Telephone | 832-279-9406
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Fax | 281-343-3001
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Authorized Official
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Title or Position | OWNER
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Name | OLUYEMI OLADIPO
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Credential |
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Telephone | 832-279-9406
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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 |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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