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General NPI Number Information
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NPI Number | 1861878589
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Entity Type | Organization
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Legal Business Name | ELQ HEALTH & HUMAN RESOURCES LLC
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 12517B NORTH FWY
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City | HOUSTON
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State | TX
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Zip | 77060-1316
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Country | US
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Telephone | 713-516-5340
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Fax | 281-872-1674
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Provider Business Mailing Address
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Address Line | 12517B NORTH FWY
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City | HOUSTON
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State | TX
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Zip | 77060-1316
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Country | US
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Telephone | 713-516-5340
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Fax | 281-972-1674
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Authorized Official
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Title or Position | CEO/ EXECUTIVE DIRECTOR
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Name | NATHELIA WHITAKER
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Credential |
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Telephone | 713-516-5340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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