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General NPI Number Information
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NPI Number | 1427255280
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Entity Type | Organization
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Legal Business Name | DISCOVERY INTERNATIONAL
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 11719 GREENCANYON DR
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City | HOUSTON
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State | TX
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Zip | 77044-5100
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Country | US
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Telephone | 832-368-3577
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Fax |
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Provider Business Mailing Address
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Address Line | 11719 GREENCANYON DR
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City | HOUSTON
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State | TX
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Zip | 77044-5100
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Country | US
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Telephone | 832-368-3577
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | MRS. SHARON J. KAYODE
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Credential |
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Telephone | 832-368-3577
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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 | 001007312
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License Number State | TX
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