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General NPI Number Information
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NPI Number | 1417359688
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Entity Type | Organization
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Legal Business Name | ENDURING EDUCATION FOR EXCEPTIONAL ADULTS
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 2905 BAER ST # 3
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City | HOUSTON
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State | TX
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Zip | 77020-5955
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Country | US
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Telephone | 832-831-8353
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Fax |
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Provider Business Mailing Address
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Address Line | 8210 BURNT ASH DR
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City | HUMBLE
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State | TX
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Zip | 77338-2738
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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 | EXECUTIVE DIRECTOR/ PROGRAM MANAGER
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Name | CAROLYN HENRY
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Credential | M.ED
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Telephone | 832-512-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 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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