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General NPI Number Information
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NPI Number | 1174907513
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Entity Type | Organization
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Legal Business Name | SOUTH CENTRAL HOUSTON ACTION COUNCIL INC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 96 BERRY RD
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City | HOUSTON
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State | TX
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Zip | 77022-3057
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Country | US
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Telephone | 713-734-4580
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Fax |
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Provider Business Mailing Address
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Address Line | 8610 MARTIN LUTHER KING BLVD
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City | HOUSTON
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State | TX
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Zip | 77033-2308
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Country | US
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Telephone | 713-734-4580
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. LATOYA DARDEN
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Credential |
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Telephone | 832-308-1072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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