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General NPI Number Information
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NPI Number | 1053435701
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Entity Type | Organization
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Legal Business Name | INNOVATIVE ALTERNATIVES, INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 1335 REGENTS PARK DR. SUITE 240
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City | HOUSTON
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State | TX
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Zip | 77058-2541
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Country | US
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Telephone | 713-222-2525
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Fax | 281-480-4815
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Provider Business Mailing Address
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Address Line | 1335 REGENTS PARK DR. SUITE 240
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City | HOUSTON
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State | TX
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Zip | 77058-2541
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Country | US
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Telephone | 713-222-2525
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Fax | 281-480-4815
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MRS. SHARON K BAYUS
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Credential | MA, LPC-S
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Telephone | 713-222-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 13003
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License Number State | TX
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