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General NPI Number Information
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NPI Number | 1033789284
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Entity Type | Organization
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Legal Business Name | A1 TRU CARE
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 05/14/2023
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Provider Practice Location Address
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Address Line | 9114 GRADY ST
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City | HOUSTON
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State | TX
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Zip | 77016-5321
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Country | US
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Telephone | 832-607-7798
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Fax |
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Provider Business Mailing Address
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Address Line | 5318 WESLAYAN ST # 1165
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City | HOUSTON
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State | TX
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Zip | 77005-1048
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JUSTIN MORRAN
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Credential |
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Telephone | 832-607-7798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 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 |
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