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General NPI Number Information
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NPI Number | 1104199769
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Entity Type | Organization
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Legal Business Name | DIFFERENT ABILITIES INC
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 301 WELLS FARGO DR SUITE C-7
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City | HOUSTON
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State | TX
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Zip | 77090-4060
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Country | US
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Telephone | 281-907-9002
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Fax | 281-214-2148
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Provider Business Mailing Address
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Address Line | 301 WELLS FARGO DR SUITE C-7
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City | HOUSTON
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State | TX
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Zip | 77090-4060
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Country | US
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Telephone | 281-907-9002
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Fax | 281-214-2148
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RACHEL M NAVA
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Credential | LVN
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Telephone | 281-907-9002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | TX
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