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General NPI Number Information
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NPI Number | 1073936555
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Entity Type | Organization
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Legal Business Name | THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 1502 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-970-4650
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Fax | 713-970-4693
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Provider Business Mailing Address
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Address Line | 1502 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-970-4668
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Fax | 713-970-4693
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Authorized Official
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Title or Position | CEO
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Name | WAYNE YOUNG
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Credential |
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Telephone | 713-970-3385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 19753
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License Number State | TX
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