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General NPI Number Information
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NPI Number | 1255874699
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Entity Type | Organization
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Legal Business Name | ALMIGHTY VISONS SERVICES LLC
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 8838 RIVER RIDGE VIEW LN
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City | HUMBLE
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State | TX
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Zip | 77338-7347
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Country | US
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Telephone | 281-248-6703
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Fax |
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Provider Business Mailing Address
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Address Line | 8838 RIVER RIDGE VIEW LN
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City | HUMBLE
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State | TX
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Zip | 77338-7347
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Country | US
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Telephone | 281-468-7246
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | DR. RICHARD K MALLET
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Credential | PHD
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Telephone | 281-248-6703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | TX
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