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General NPI Number Information
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NPI Number | 1083933329
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Entity Type | Organization
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Legal Business Name | SPRING-WOODLANDS DAY HABILITATION LLC
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 611 WESTRIDGE RD
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City | SPRING
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State | TX
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Zip | 77380-2844
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Country | US
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Telephone | 281-298-4398
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Fax | 281-946-5028
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Provider Business Mailing Address
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Address Line | 611 WESTRIDGE RD
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City | SPRING
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State | TX
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Zip | 77380-2844
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Country | US
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Telephone | 281-298-4398
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Fax | 281-946-5028
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | MRS. MAGDA IBARRA
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Credential |
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Telephone | 281-298-4398
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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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