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General NPI Number Information
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NPI Number | 1487186235
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Entity Type | Organization
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Legal Business Name | THE PROSPERITY FIRM LLC
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 16903 RED OAK DR SUITE 175
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City | HOUSTON
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State | TX
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Zip | 77090-3914
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Country | US
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Telephone | 832-705-8914
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Fax | 832-446-6840
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Provider Business Mailing Address
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Address Line | 16903 RED OAK DR SUITE 175
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City | HOUSTON
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State | TX
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Zip | 77090-3929
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Country | US
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Telephone | 832-705-8914
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Fax | 832-446-6840
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEEKEITA BURNS
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Credential |
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Telephone | 832-705-8914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 802251490
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License Number State | TX
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