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General NPI Number Information
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NPI Number | 1568703007
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Entity Type | Organization
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Legal Business Name | 1 E.C.M SERVICES,LLC
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Dates
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Enumeration Date | 03/08/2013
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Last Update Date | 03/08/2013
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Provider Practice Location Address
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Address Line | 2656 S LOOP W 454
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City | HOUSTON
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State | TX
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Zip | 77054-2664
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Country | US
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Telephone | 713-935-5974
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 331355
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City | HOUSTON
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State | TX
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Zip | 77233-1355
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGION 6 DIRECTOR
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Name | MR. CALVIN J FORD
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Credential |
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Telephone | 713-412-6080
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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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