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General NPI Number Information
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NPI Number | 1972974921
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Entity Type | Organization
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Legal Business Name | SEDS HEALTHCARE, INC
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 21352 PROVINCIAL BLVD
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City | KATY
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State | TX
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Zip | 77450-7580
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Country | US
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Telephone | 713-409-2710
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Fax | 281-829-7331
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Provider Business Mailing Address
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Address Line | 2011 AUTUMN FERN DR
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City | KATY
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State | TX
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Zip | 77450-6673
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Country | US
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Telephone | 713-409-2710
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Fax | 281-829-7331
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Authorized Official
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Title or Position | PRESIDENT
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Name | IMAOBONG NDA
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Credential |
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Telephone | 713-726-6174
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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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