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General NPI Number Information
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NPI Number | 1902171754
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Entity Type | Organization
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Legal Business Name | THH HOUSTON HOLDINGS, LLC
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 3505 S DAIRY ASHFORD ST SUITE 248
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City | HOUSTON
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State | TX
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Zip | 77082-5513
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Country | US
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Telephone | 281-531-4461
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Fax | 281-531-1793
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Provider Business Mailing Address
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Address Line | 10010 SAN PEDRO AVE SUITE 120
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City | SAN ANTONIO
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State | TX
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Zip | 78216-3862
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Country | US
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Telephone | 713-871-1131
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Fax | 713-871-1194
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. AMIR MORTAZAVI
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Credential |
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Telephone | 713-871-1131
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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 | 002881
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License Number State | TX
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