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General NPI Number Information
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NPI Number | 1902393515
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Entity Type | Organization
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Legal Business Name | E-Z ACCESS HOMECARE
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 14614 FALLING CREEK DR STE 126
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City | HOUSTON
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State | TX
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Zip | 77068-2931
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Country | US
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Telephone | 817-937-7376
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Fax |
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Provider Business Mailing Address
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Address Line | 111 BLOOMFIELD DR
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City | KELLER
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State | TX
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Zip | 76248-5385
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Country | US
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Telephone | 817-431-1886
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Fax |
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Authorized Official
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Title or Position | ADMINISTER, OWNER
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Name | MRS. JACQUELINE HOPKINS
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Credential | RN,BSN
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Telephone | 817-937-7376
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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 | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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