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General NPI Number Information
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NPI Number | 1538889365
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Entity Type | Organization
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Legal Business Name | HELPING OUR RIDERS SUCCEED IN EDUCATION
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 2300 E COUNTY ROAD 140
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City | MIDLAND
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State | TX
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Zip | 79706-7108
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Country | US
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Telephone | 432-634-8726
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 E COUNTY ROAD 140
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City | MIDLAND
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State | TX
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Zip | 79706-7108
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Country | US
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Telephone | 432-634-8726
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JODIE ROSE
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Credential | LMFT-A
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Telephone | 432-254-8129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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