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General NPI Number Information
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NPI Number | 1134463979
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Entity Type | Organization
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Legal Business Name | THE HOUSTON UMBRELLA
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Dates
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Enumeration Date | 11/17/2012
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Last Update Date | 11/17/2012
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Provider Practice Location Address
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Address Line | 5311 HEATHERCREST ST
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City | HOUSTON
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State | TX
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Zip | 77045-5229
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Country | US
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Telephone | 281-802-2405
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Fax |
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Provider Business Mailing Address
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Address Line | 4026 ROSEBUD DR
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City | HOUSTON
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State | TX
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Zip | 77053-1415
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Country | US
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Telephone | 281-802-2405
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. STEPHANIE SAULS
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Credential |
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Telephone | 281-802-2405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 3028-3029
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License Number State | TX
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