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General NPI Number Information
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NPI Number | 1487887048
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Entity Type | Organization
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Legal Business Name | THE ALCOHOL/DRUG ABUSE WOMEN'S CENTER
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 201 1ST ST
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City | GALVESTON
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State | TX
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Zip | 77550-5704
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Country | US
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Telephone | 409-763-5516
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Fax | 409-965-0445
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Provider Business Mailing Address
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Address Line | 201 1ST ST
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City | GALVESTON
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State | TX
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Zip | 77550-5704
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Country | US
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Telephone | 409-763-5516
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Fax | 409-965-0445
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELLEN HANLEY
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Credential |
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Telephone | 409-865-0610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 597C
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License Number State | TX
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