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General NPI Number Information
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NPI Number | 1023275476
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Entity Type | Organization
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Legal Business Name | REFUGE SERVICES
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 8405 COUNTY ROAD 2500
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City | LUBBOCK
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State | TX
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Zip | 79404-8105
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Country | US
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Telephone | 806-748-7202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53684
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City | LUBBOCK
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State | TX
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Zip | 79453-3684
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Country | US
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Telephone | 806-748-7202
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF THERAPY SERVICES
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Name | MRS. PATTI MANDRELL
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Credential |
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Telephone | 806-748-7202
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 6602900000
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 555400000
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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