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General NPI Number Information
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NPI Number | 1942520283
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Entity Type | Organization
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Legal Business Name | SOP GROUP, INC
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 3626 FEDERAL RD
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City | PASADENA
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State | TX
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Zip | 77504-2211
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Country | US
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Telephone | 713-910-1241
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 865
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City | SOUTH HOUSTON
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State | TX
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Zip | 77587-0865
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Country | US
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Telephone | 713-910-1241
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. EVERETT PAUL JAGGER
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Credential |
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Telephone | 713-910-1241
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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 | 007604
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License Number State | TX
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