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General NPI Number Information
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NPI Number | 1134849748
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Entity Type | Organization
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Legal Business Name | LIVING SOLUTIONS BY SRA. RUIZ INC.
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 9894 BISSONNET ST STE 301
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City | HOUSTON
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State | TX
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Zip | 77036-8240
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Country | US
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Telephone | 713-885-2667
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Fax | 281-661-1666
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Provider Business Mailing Address
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Address Line | 15434 W WILLOWWIND CIR STE 301
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City | HOUSTON
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State | TX
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Zip | 77071-3232
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Country | US
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Telephone | 713-885-2667
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Fax | 281-661-1666
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Authorized Official
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Title or Position | AMINISTRATOR
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Name | MRS. PHOEBE ACOSTA RUIZ
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Credential |
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Telephone | 713-885-2667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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