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General NPI Number Information
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NPI Number | 1013272392
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Entity Type | Organization
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Legal Business Name | CELESTIAL SYSTEMS LLC
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 505 N SAM HOUSTON PKWY E SUITE 605
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City | HOUSTON
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State | TX
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Zip | 77060-4018
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Country | US
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Telephone | 281-815-2953
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Fax | 281-815-2988
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Provider Business Mailing Address
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Address Line | 505 N SAM HOUSTON PKWY E SUITE 605
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City | HOUSTON
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State | TX
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Zip | 77060-4018
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Country | US
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Telephone | 281-815-2953
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Fax | 281-815-2988
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Authorized Official
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Title or Position | ACCOUNT EXECUTIVE
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Name | MRS. NICOLE JANELL CELESTINE
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Credential |
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Telephone | 281-815-2953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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