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General NPI Number Information
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NPI Number | 1609796234
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Entity Type | Organization
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Legal Business Name | ELCSP MEDICAL LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 6915 NORTHCHESTER DR
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City | KATY
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State | TX
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Zip | 77493-3850
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Country | US
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Telephone | 832-217-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 20115 TURTLE BROOK LN
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City | RICHMOND
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State | TX
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Zip | 77407-5481
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Country | US
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Telephone | 832-217-7893
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | PAULINE NJUKU
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Credential | PROGRAM MANAGER
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Telephone | 832-217-7893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 |
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Taxonomy #3
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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 #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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