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General NPI Number Information
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NPI Number | 1578849774
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Entity Type | Organization
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Legal Business Name | SIDZIA GROUP, INC.
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 5959 WESTHEIMER RD SUITE #114
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City | HOUSTON
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State | TX
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Zip | 77057-7622
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Country | US
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Telephone | 832-660-1000
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Fax | 713-975-1499
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Provider Business Mailing Address
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Address Line | 5959 WESTHEIMER RD SUITE #114
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City | HOUSTON
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State | TX
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Zip | 77057-7622
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Country | US
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Telephone | 832-660-1000
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Fax | 713-975-1499
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Authorized Official
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Title or Position | CEO
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Name | MRS. JASERAH FATIMA ASADULLAH
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Credential |
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Telephone | 832-660-1000
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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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