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General NPI Number Information
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NPI Number | 1528435443
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Entity Type | Organization
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Legal Business Name | YOU CAN LEAN ON ME HOUSING SOLUTIONS
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 983 COUNTY ROAD 2095 # 247
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City | LIBERTY
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State | TX
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Zip | 77575-8054
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Country | US
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Telephone | 936-776-2094
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Fax |
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Provider Business Mailing Address
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Address Line | 983 COUNTY ROAD 2095 # 247
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City | LIBERTY
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State | TX
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Zip | 77575-8054
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Country | US
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Telephone | 936-776-2094
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. KEVIN L MULLEN
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Credential |
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Telephone | 936-776-2094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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