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General NPI Number Information
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NPI Number | 1891188157
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Entity Type | Organization
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Legal Business Name | CC & EE LLC
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 13105 NORTHWEST FWY STE 103
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City | HOUSTON
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State | TX
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Zip | 77040-5231
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Country | US
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Telephone | 281-440-5160
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Fax | 281-586-4484
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Provider Business Mailing Address
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Address Line | 13105 NORTHWEST FWY STE 103
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City | HOUSTON
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State | TX
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Zip | 77040-5231
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Country | US
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Telephone | 281-440-5160
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Fax | 281-586-4484
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CARA DELGADO
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Credential | LMSW
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Telephone | 281-440-5160
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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 | 016060
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License Number State | TX
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