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General NPI Number Information
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NPI Number | 1225531718
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Entity Type | Organization
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Legal Business Name | MASX PARTNERS INC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 5118 PINEWILDE DR
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City | HOUSTON
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State | TX
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Zip | 77066-2829
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Country | US
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Telephone | 281-660-1670
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Fax | 832-965-5285
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Provider Business Mailing Address
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Address Line | PO BOX 691602
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City | HOUSTON
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State | TX
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Zip | 77269-1602
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Country | US
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Telephone | 281-660-1670
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Fax | 832-965-5285
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Authorized Official
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Title or Position | MANAGER
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Name | CHARLES ORLANDO LAGRONE
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Credential |
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Telephone | 281-660-1670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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