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General NPI Number Information
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NPI Number | 1194235721
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Entity Type | Organization
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Legal Business Name | UNIFIED 1 COMMUNITY MENTAL HEALTH CENTER INC
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 12/01/2017
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Provider Practice Location Address
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Address Line | 13003 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77099-2234
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Country | US
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Telephone | 832-890-9253
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Fax |
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Provider Business Mailing Address
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Address Line | 12413 SHADY DOWNS DR
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City | HOUSTON
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State | TX
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Zip | 77082-5657
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Country | US
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Telephone | 832-890-9253
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | YNEDRA DIGGS
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Credential |
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Telephone | 832-890-9253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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