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NPI 1952795080

NPI 1952795080 : INTEL HEALTH SERVICES INC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1952795080
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEL HEALTH SERVICES INC 
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Dates
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    Enumeration Date     |    03/26/2015
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    Last Update Date     |    03/26/2015
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Provider Practice Location Address
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    Address Line         |    14935 S RICHMOND AVE APT# 2036
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77082-1589
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    Country              |    US
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    Telephone            |    832-396-2572
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14935 S RICHMOND AVE APT# 2036
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77082-1589
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    Country              |    US
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    Telephone            |    832-396-2572
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. OGBONNA  NWOSU 
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    Credential           |    
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    Telephone            |    832-396-2572
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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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