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General NPI Number Information
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NPI Number | 1528409067
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Entity Type | Organization
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Legal Business Name | ENCOMPASS 2
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 363 N SAM HOUSTON PKWY E STE 1100-128
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City | HOUSTON
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State | TX
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Zip | 77060-2404
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Country | US
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Telephone | 832-894-3997
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Fax | 888-908-5230
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Provider Business Mailing Address
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Address Line | 363 N. SAM HOUSTON E. SUITE 1100-128
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City | HOUSTON
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State | TX
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Zip | 77060
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Country | US
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Telephone | 832-894-3997
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Fax | 888-908-5230
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Authorized Official
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Title or Position | ADMINASTRATOR
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Name | TRACEY RENE LEWIS
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Credential |
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Telephone | 832-894-3997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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