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General NPI Number Information
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NPI Number | 1427477876
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Entity Type | Organization
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Legal Business Name | ANGELES DE LA TIERRA LLC
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 9730 SOUTHWEST FWY STE B-209
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City | HOUSTON
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State | TX
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Zip | 77074-1352
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Country | US
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Telephone | 832-506-8767
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Fax | 346-570-4905
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Provider Business Mailing Address
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Address Line | 9730 SOUTHWEST FWY STE B-209
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City | HOUSTON
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State | TX
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Zip | 77074-1352
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Country | US
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Telephone | 832-506-8767
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LETICIA RAMIREZ
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Credential |
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Telephone | 832-531-4644
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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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