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General NPI Number Information
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NPI Number | 1871258145
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Entity Type | Organization
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Legal Business Name | ECO-CLEANOLOGY LTD CO
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 10516 HANSELMAN RD
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City | MANVEL
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State | TX
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Zip | 77578-5502
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Country | US
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Telephone | 281-793-9437
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Fax |
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Provider Business Mailing Address
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Address Line | 10516 HANSELMAN RD
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City | MANVEL
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State | TX
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Zip | 77578-5502
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Country | US
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Telephone | 281-793-9437
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING
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Name | PIERRE CHARLAND
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Credential |
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Telephone | 281-793-9437
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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 |
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License Number State |
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