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NPI 1558508721

NPI 1558508721 : IHEOMA ABRAM DBA ZION MEDICAL SERVICES : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1558508721
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    Entity Type          |    Organization 
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    Legal Business Name  |    IHEOMA ABRAM DBA ZION MEDICAL SERVICES 
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Dates
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    Enumeration Date     |    01/09/2009
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    Last Update Date     |    08/02/2018
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Provider Practice Location Address
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    Address Line         |    9888 BISSONNET ST SUITE 530
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77036-8247
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    Country              |    US
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    Telephone            |    713-304-5851
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    Fax                  |    713-981-5825
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Provider Business Mailing Address
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    Address Line         |    9888 BISSONNET ST SUITE 530
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77036-8247
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    Country              |    US
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    Telephone            |    713-304-5851
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    Fax                  |    713-981-5825
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Authorized Official
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    Title or Position    |    PROGRAM DIRECTOR
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    Name                 |     IHEOMA J ABRAM OBI-AZUIKE 
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    Credential           |    
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    Telephone            |    713-304-5851
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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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Taxonomy #2
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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 |    TX
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