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General NPI Number Information
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NPI Number | 1083002638
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Entity Type | Organization
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Legal Business Name | ACCESS QUALITY HOMES/FOSTER CARE
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 142 SILVER PENNY DR
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City | CONROE
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State | TX
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Zip | 77384-5090
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Country | US
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Telephone | 832-797-1235
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Fax | 936-647-4747
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Provider Business Mailing Address
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Address Line | PO BOX 7156
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City | SPRING
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State | TX
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Zip | 77387-7156
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Country | US
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Telephone | 832-797-1235
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | MRS. SARAH ALEXANDER SOTO
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Credential |
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Telephone | 832-797-1235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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