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General NPI Number Information
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NPI Number | 1952409617
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Entity Type | Organization
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Legal Business Name | GMAC HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 4434 BLUEBONNET DR SUITE 103
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City | STAFFORD
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State | TX
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Zip | 77477-2904
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Country | US
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Telephone | 832-646-5784
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Fax | 281-499-8323
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Provider Business Mailing Address
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Address Line | 4434 BLUEBONNET SUITE 103
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City | STAFFORD
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State | TX
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Zip | 77477-2904
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Country | US
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Telephone | 832-646-5784
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Fax | 281-499-8323
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MRS. ADDIE EVANS
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Credential | RN
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Telephone | 713-254-5027
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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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