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General NPI Number Information
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NPI Number | 1982860417
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Entity Type | Organization
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Legal Business Name | NATIONAL SENIOR CARE
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 6150 RICHMOND AVE STE 214
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City | HOUSTON
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State | TX
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Zip | 77057
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Country | US
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Telephone | 713-780-2390
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Fax | 888-420-4606
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Provider Business Mailing Address
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Address Line | 905 N. 4TH STREET
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City | LONGVIEW
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State | TX
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Zip | 75601
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Country | US
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Telephone | 903-553-0004
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Fax | 866-236-4022
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Authorized Official
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Title or Position | OWNER/VP OF NURSING
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Name | MARC BOBO
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Credential | RN, BSN
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Telephone | 903-553-0004
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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 | 010139
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License Number State | TX
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