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General NPI Number Information
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NPI Number | 1154620144
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Entity Type | Organization
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Legal Business Name | HINES HOPE ACTIVITY/HEALTH CENTER
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 9896 BISSONNET ST #240
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City | HOUSTON
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State | TX
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Zip | 77036-8104
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Country | US
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Telephone | 713-995-1920
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Fax | 713-995-1924
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Provider Business Mailing Address
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Address Line | 9896 BISSONNET ST #240
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City | HOUSTON
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State | TX
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Zip | 77036-8104
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Country | US
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Telephone | 713-995-1920
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Fax | 713-995-1924
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LATONIA LEWIS HINES
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Credential |
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Telephone | 832-741-8173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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