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NPI 1144091679

NPI 1144091679 : ZLOK INC : KATY, TX

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General NPI Number Information
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    NPI Number           |    1144091679
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZLOK INC 
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Dates
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    Enumeration Date     |    01/12/2024
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    Last Update Date     |    06/28/2024
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Provider Practice Location Address
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    Address Line         |    26303 SMOKEY VALLEY LN 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77494-2782
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    Country              |    US
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    Telephone            |    713-922-7436
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26303 SMOKEY VALLEY LN 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77494-2782
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    Country              |    US
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    Telephone            |    713-922-7436
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    Fax                  |    
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Authorized Official
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    Title or Position    |    C.E.O.
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    Name                 |     DANIEL  EDEWOR 
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    Credential           |    
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    Telephone            |    346-515-7781
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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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