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General NPI Number Information
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NPI Number | 1518104298
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Entity Type | Organization
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Legal Business Name | ST. CYPRAIN'S HEALTH INC.
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 6633 HILLCROFT ST SUITE 133
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City | HOUSTON
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State | TX
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Zip | 77081-4887
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Country | US
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Telephone | 713-271-2611
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Fax | 713-271-2651
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Provider Business Mailing Address
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Address Line | PO BOX 1564
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City | BELLAIRE
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State | TX
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Zip | 77402-1564
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Country | US
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Telephone | 713-271-2611
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Fax | 713-271-2651
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MARSHAL OKECHUKWU NDUKWE
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Credential |
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Telephone | 832-473-9771
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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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