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General NPI Number Information
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NPI Number | 1053489625
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Entity Type | Organization
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Legal Business Name | JAMES-LEACH INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 282 FM3234
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City | SMILEY
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State | TX
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Zip | 78159
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Country | US
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Telephone | 830-587-6710
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Fax | 830-587-6280
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Provider Business Mailing Address
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Address Line | 2004 S US HIGHWAY 77
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City | LA GRANGE
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State | TX
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Zip | 78945-6127
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Country | US
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Telephone | 979-968-8820
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Fax | 979-968-6598
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM K GRAY II
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Credential |
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Telephone | 979-968-8820
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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 | 117230
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License Number State | TX
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