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General NPI Number Information
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NPI Number | 1841577533
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Entity Type | Organization
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Legal Business Name | I.J. HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 9894 BISSONNET ST STE 810
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City | HOUSTON
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State | TX
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Zip | 77036-8272
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Country | US
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Telephone | 713-779-4849
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Fax | 713-779-1252
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Provider Business Mailing Address
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Address Line | 13407 QUEENSLAND WAY
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City | HOUSTON
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State | TX
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Zip | 77083-6392
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Country | US
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Telephone | 713-779-4849
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Fax | 713-779-1252
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IJEOMA NWANNA
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Credential |
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Telephone | 713-779-4849
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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 | 014509
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 014509
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License Number State | TX
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