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General NPI Number Information
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NPI Number | 1134587058
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Entity Type | Organization
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Legal Business Name | A GUIDED PATHWAY
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 15627 PILGRIM HALL DR
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2954
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Country | US
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Telephone | 713-504-4081
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Fax |
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Provider Business Mailing Address
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Address Line | 15627 PILGRIM HALL DR
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2954
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FRANCHESKA GARDEA
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Credential |
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Telephone | 713-504-4081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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