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General NPI Number Information
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NPI Number | 1326773714
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Entity Type | Organization
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Legal Business Name | UPLIFT RECOVERY AND WELLNESS CENTER INC
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 12971 WESTHEIMER RD STE A
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City | HOUSTON
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State | TX
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Zip | 77077-5603
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Country | US
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Telephone | 404-454-9721
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Fax |
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Provider Business Mailing Address
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Address Line | 12971 WESTHEIMER RD STE A
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City | HOUSTON
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State | TX
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Zip | 77077-5603
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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 | OWNER
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Name | WONDER ADAMS
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Credential |
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Telephone | 404-934-3936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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