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General NPI Number Information
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NPI Number | 1194047662
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Entity Type | Organization
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Legal Business Name | UNLIMITED VISIONS AFTERCARE, INC
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 5527 LAWNDALE ST
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City | HOUSTON
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State | TX
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Zip | 77023-3818
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Country | US
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Telephone | 713-921-2276
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Fax | 713-921-7466
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Provider Business Mailing Address
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Address Line | 5527 LAWNDALE ST
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City | HOUSTON
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State | TX
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Zip | 77023-3818
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Country | US
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Telephone | 713-921-2276
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Fax | 713-921-7466
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Authorized Official
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Title or Position | MANAGING EXECUTIVEOFFICER
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Name | REGINA J HASAN
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Credential | LCDC
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Telephone | 713-921-2276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 1661-B
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | 161-3121
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 1661-A
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License Number State | TX
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