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NPI 1891023024

NPI 1891023024 : RV HEALTHCARE SERVICES : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1891023024
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    Entity Type          |    Organization 
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    Legal Business Name  |    RV HEALTHCARE SERVICES 
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Dates
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    Enumeration Date     |    11/29/2009
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    Last Update Date     |    11/29/2009
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Provider Practice Location Address
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    Address Line         |    1880 S DAIRY ASHFORD ST 106
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077-4760
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    Country              |    US
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    Telephone            |    832-228-0291
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    Fax                  |    866-473-0395
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Provider Business Mailing Address
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    Address Line         |    1880 S DAIRY ASHFORD ST 106
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077-4760
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    Country              |    US
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    Telephone            |    832-228-0291
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    Fax                  |    866-473-0395
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     VICTORIA ESSIEN EDUOK 
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    Credential           |    
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    Telephone            |    832-228-0291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    TX
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