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General NPI Number Information
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NPI Number | 1912450024
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Entity Type | Organization
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Legal Business Name | CARE FOR YOU PROVIDER SERVICES
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 12327 GRAND ARCHES LN
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City | HUMBLE
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State | TX
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Zip | 77346-3690
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Country | US
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Telephone | 281-745-0801
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Fax |
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Provider Business Mailing Address
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Address Line | 12327 GRAND ARCHES LN
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City | HUMBLE
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State | TX
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Zip | 77346-3690
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Country | US
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Telephone | 281-745-0801
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANDRA L. MARTIN
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Credential | APRN
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Telephone | 281-745-0801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 116683
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License Number State | TX
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