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General NPI Number Information
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NPI Number | 1144525270
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Entity Type | Organization
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Legal Business Name | METROPOLITAN LIVING FACILITY
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 8216 E HOUSTON RD
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City | HOUSTON
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State | TX
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Zip | 77028-2025
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Country | US
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Telephone | 713-631-9400
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Fax | 713-633-1778
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Provider Business Mailing Address
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Address Line | PO BOX 23015
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City | HOUSTON
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State | TX
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Zip | 77228-3015
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Country | US
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Telephone | 713-637-9400
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Fax | 713-633-1778
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. EVANGELINE WINSTON HARDEN
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Credential |
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Telephone | 713-631-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | TX
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