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General NPI Number Information
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NPI Number | 1982242806
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Entity Type | Organization
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Legal Business Name | EAGLE E PERSONAL ASSISTANCE SERVICE L.L.C.
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 2218 TRUXILLO ST
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City | HOUSTON
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State | TX
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Zip | 77004-4336
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Country | US
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Telephone | 832-453-6261
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Fax | 713-485-6727
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Provider Business Mailing Address
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Address Line | 2218 TRUXILLO ST
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City | HOUSTON
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State | TX
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Zip | 77004-4336
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Country | US
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Telephone | 832-453-6261
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Fax | 713-485-6727
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Authorized Official
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Title or Position | OWNER
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Name | MS. EYEKA LEONI DAVIS
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Credential |
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Telephone | 832-453-6261
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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 |
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License Number State |
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