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General NPI Number Information
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NPI Number | 1932402054
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Entity Type | Organization
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Legal Business Name | PANGAEA HEALTH CARE SOLUTIONS
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 2626 S LOOP W STE 406
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City | HOUSTON
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State | TX
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Zip | 77054-5613
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Country | US
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Telephone | 713-432-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 S LOOP W STE 406
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City | HOUSTON
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State | TX
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Zip | 77054-5613
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Country | US
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Telephone | 713-432-1930
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DONNA D BOLDEN
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Credential | R.N.
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Telephone | 832-567-8461
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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 |
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License Number State |
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