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General NPI Number Information
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NPI Number | 1356665715
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Entity Type | Organization
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Legal Business Name | SANTA MARIA HOSTEL, INC.
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 2605 PARKER RD
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City | HOUSTON
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State | TX
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Zip | 77093-4606
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Country | US
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Telephone | 713-691-0900
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Fax | 713-691-0910
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Provider Business Mailing Address
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Address Line | 2605 PARKER RD
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City | HOUSTON
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State | TX
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Zip | 77093-4606
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Country | US
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Telephone | 713-691-0900
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Fax | 713-691-0910
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | BARBARA MARTIN PAGE
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Credential |
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Telephone | 713-301-2618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 672-3069
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License Number State | TX
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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 | 672 3135 3550
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License Number State | TX
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Taxonomy #3
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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 | 672-C 3552
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License Number State | TX
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Taxonomy #4
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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 | 672-3135
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License Number State | TX
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