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General NPI Number Information
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NPI Number | 1194029017
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Entity Type | Organization
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Legal Business Name | FERGUSON BUSINESS ASSOCIATES
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 3214 KNOTTY OAKS TRL
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City | HOUSTON
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State | TX
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Zip | 77045-4518
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Country | US
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Telephone | 832-380-4423
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Fax | 713-434-2041
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Provider Business Mailing Address
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Address Line | PO BOX 450068
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City | HOUSTON
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State | TX
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Zip | 77245-0068
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Country | US
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Telephone | 832-380-4423
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Fax | 713-434-2041
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Authorized Official
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Title or Position | CHIEF OFFICER/DIRECTOR
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Name | MRS. VERONICA F. SEIVWRIGHT
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Credential | LMSW-IPR
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Telephone | 832-380-4423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 22603
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License Number State | TX
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