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General NPI Number Information
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NPI Number | 1184510380
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Entity Type | Organization
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Legal Business Name | ACTIVATE DRIP SPA LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 7925 KATY FWY STE I
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City | HOUSTON
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State | TX
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Zip | 77024-1957
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Country | US
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Telephone | 832-810-3747
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Fax | 832-562-3747
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Provider Business Mailing Address
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Address Line | 7925 KATY FWY STE I
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City | HOUSTON
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State | TX
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Zip | 77024-1957
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Country | US
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Telephone | 832-810-3747
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Fax | 832-562-3747
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Authorized Official
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Title or Position | CEO
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Name | DR. NATASHA ROBERTS
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Credential | DNP
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Telephone | 346-809-3747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty 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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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