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General NPI Number Information
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NPI Number | 1184850976
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Entity Type | Organization
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Legal Business Name | FAMILY RESOURCE OF GREATER HOUSTON
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Dates
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Enumeration Date | 06/07/2009
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Last Update Date | 06/07/2009
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Provider Practice Location Address
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Address Line | 7111 HARWIN DR SUITE #218
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City | HOUSTON
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State | TX
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Zip | 77036-2129
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Country | US
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Telephone | 504-258-9174
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Fax |
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Provider Business Mailing Address
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Address Line | 7111 HARWIN DR SUITE #218
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City | HOUSTON
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State | TX
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Zip | 77036-2129
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Country | US
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Telephone | 504-258-9174
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ANTHONY JOHNSON
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Credential |
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Telephone | 504-258-9174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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