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General NPI Number Information
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NPI Number | 1104718980
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Entity Type | Organization
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Legal Business Name | FAITH AND MARIE LLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1100 GULF FWY S STE 110
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City | LEAGUE CITY
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State | TX
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Zip | 77573-5148
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Country | US
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Telephone | 281-316-6006
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Fax | 281-346-9958
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Provider Business Mailing Address
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Address Line | 1100 GULF FWY S STE 110
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City | LEAGUE CITY
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State | TX
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Zip | 77573-5148
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Country | US
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Telephone | 281-316-6006
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Fax | 281-346-9958
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | DR. MARIE YOUNGBLOOD
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Credential | PHD
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Telephone | 281-316-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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