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General NPI Number Information
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NPI Number | 1023377280
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Entity Type | Organization
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Legal Business Name | THOMPSON HUMAN SERVICE GROUP INC,.
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 2111 ROSEFIELD DR
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City | HOUSTON
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State | TX
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Zip | 77080-6438
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Country | US
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Telephone | 832-677-8511
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Fax | 832-676-2369
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Provider Business Mailing Address
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Address Line | 2111 ROSEFIELD DR
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City | HOUSTON
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State | TX
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Zip | 77080-6438
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Country | US
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Telephone |
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Fax | 832-676-2369
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DWAYNE EDWARD THOMPSON
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Credential |
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Telephone | 832-677-8511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | TX
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