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General NPI Number Information
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NPI Number | 1407281207
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Entity Type | Organization
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Legal Business Name | HOUSE OF ISAIAH
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 21103 FALCON CREEK CT 21103 FALCON CREEK COURT
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City | RICHMOND
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State | TX
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Zip | 77406-7163
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Country | US
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Telephone | 281-216-3638
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Fax | 281-531-5512
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Provider Business Mailing Address
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Address Line | 21103 FALCON CREEK COURT 21103 FALCON CREEK COURT
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City | RICHMOND
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State | TX
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Zip | 77406
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Country | US
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Telephone | 281-216-3638
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Fax | 281-531-5512
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Authorized Official
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Title or Position | OWN
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Name | PAULA THELMA SINCLAIR
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Credential |
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Telephone | 281-216-3638
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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 | 60
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License Number State | TX
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Taxonomy #2
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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 #3
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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 | TX
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Taxonomy #4
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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 | 0801346573
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License Number State | TX
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Taxonomy #5
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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 | 251C00000X
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License Number State | TX
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