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General NPI Number Information
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NPI Number | 1922436047
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Entity Type | Organization
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Legal Business Name | THE GREAT COUNSELOR HEALTH SERVICES
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 12103 FONDREN BEND DR
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City | HOUSTON
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State | TX
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Zip | 77071-2455
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Country | US
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Telephone | 713-298-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 12103 FONDREN BEND DR
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City | HOUSTON
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State | TX
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Zip | 77071-2455
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Country | US
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Telephone | 713-298-1777
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHIOMA NGOZI ODILI
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Credential | R. N.
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Telephone | 713-298-1777
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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 | 759504
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 759504
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License Number State | TX
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