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General NPI Number Information
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NPI Number | 1922477603
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Entity Type | Organization
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Legal Business Name | QBT HEALTHCARE SERVICES
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 234 MEYER ST SUITE D
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City | SEALY
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State | TX
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Zip | 77474-2325
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Country | US
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Telephone | 713-384-9665
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Fax | 713-583-0009
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Provider Business Mailing Address
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Address Line | 12520 WESTHEIMER RD A-1 #201
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City | HOUSTON
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State | TX
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Zip | 77077
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Country | US
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Telephone | 713-384-9665
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | QUEEN TANE
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Credential |
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Telephone | 713-384-9665
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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 | 016369
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License Number State | TX
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