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General NPI Number Information
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NPI Number | 1396084885
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Entity Type | Organization
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Legal Business Name | AIWC SERVICES, INC.
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 7400 HARWIN DR SUITE 192
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City | HOUSTON
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State | TX
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Zip | 77036-2014
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Country | US
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Telephone | 832-207-8500
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Fax | 713-785-1291
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Provider Business Mailing Address
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Address Line | 9603 ARBURY LN
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City | HUMBLE
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State | TX
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Zip | 77396-4296
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Country | US
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Telephone | 832-207-8500
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Fax | 713-785-1291
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Authorized Official
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Title or Position | DIRECTOR
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Name | TAKEISHA ADAMS
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Credential |
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Telephone | 832-207-8500
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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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