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General NPI Number Information
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NPI Number | 1043094006
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Entity Type | Organization
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Legal Business Name | LIRPA INTERESTS, LLC
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 10/21/2023
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Provider Practice Location Address
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Address Line | 5923 COYOTE ECHO DR
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City | KATY
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State | TX
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Zip | 77449-1707
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Country | US
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Telephone | 855-547-7248
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Fax |
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Provider Business Mailing Address
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Address Line | 5923 COYOTE ECHO DR
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City | KATY
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State | TX
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Zip | 77449-1707
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Country | US
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Telephone | 832-641-2789
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/DIRECTOR
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Name | DR. APRIL C VIVERETTE
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Credential | PHD, LCSW, MBA
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Telephone | 832-641-2789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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