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General NPI Number Information
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NPI Number | 1891709762
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Entity Type | Organization
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Legal Business Name | ALLIED COVENANT HOME HEALTH, INC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 8323 SOUTHWEST FREEWAY SUITE 650
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-777-9809
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Fax | 713-988-4367
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Provider Business Mailing Address
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Address Line | 8323 SOUTHWEST FREEWAY SUITE 650
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-777-9809
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Fax | 713-988-4367
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ANTONIA MICHELLE HARRIS
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Credential | RN
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Telephone | 713-777-9809
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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 | 011837
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License Number State | TX
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