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General NPI Number Information
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NPI Number | 1265138770
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Entity Type | Organization
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Legal Business Name | NOTTUS SUPPORT SOLUTIONS
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 15011 MILLER MEADOWS LN
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City | CYPRESS
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State | TX
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Zip | 77433-4422
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Country | US
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Telephone | 346-336-3039
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Fax | 832-219-7757
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Provider Business Mailing Address
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Address Line | 15055 FAIRFIELD MEADOWS DR STE 130-85
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City | CYPRESS
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State | TX
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Zip | 77433-5394
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Country | US
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Telephone | 346-336-3039
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Fax | 832-219-7757
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIMBERLY SUTTON
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Credential |
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Telephone | 346-336-3039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 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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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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