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General NPI Number Information
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NPI Number | 1225480262
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Entity Type | Organization
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Legal Business Name | KATY LEARNING CENTER
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 07/01/2016
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Provider Practice Location Address
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Address Line | 24811 WESTHEIMER PKWY
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City | KATY
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State | TX
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Zip | 77494-7319
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Country | US
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Telephone | 281-391-6401
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | KATY
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State | TX
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Zip | 77492-0146
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | PATRICIA KLINE
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Credential |
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Telephone | 281-391-6401
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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 | 1-16-21924
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License Number State | TX
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