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General NPI Number Information
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NPI Number | 1003119512
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Entity Type | Organization
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Legal Business Name | REDEEMED HOUSE OF DAVID TRANSITIONAL LIVING
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 1741A JACQUELYN DR
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City | HOUSTON
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State | TX
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Zip | 77055-3603
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Country | US
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Telephone | 281-736-7014
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Fax | 281-855-9776
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Provider Business Mailing Address
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Address Line | 1741A JACQUELYN DR
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City | HOUSTON
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State | TX
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Zip | 77055-3603
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Country | US
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Telephone | 281-736-7014
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Fax | 281-855-9776
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID JOHNSON
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Credential |
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Telephone | 281-736-7014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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