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General NPI Number Information
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NPI Number | 1619442514
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Entity Type | Organization
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Legal Business Name | REAP - REDEEM ENRICHMENT ACADEMIC PLACE
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Dates
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Enumeration Date | 10/06/2018
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 525 N SAM HOUSTON PKWY E
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City | HOUSTON
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State | TX
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Zip | 77060-4037
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Country | US
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Telephone | 832-768-2884
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Fax |
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Provider Business Mailing Address
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Address Line | 15331 KUYKENDAHL RD APT 602
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City | HOUSTON
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State | TX
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Zip | 77090-4118
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Country | US
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Telephone | 832-479-9561
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | LARRY MANNINGS
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Credential |
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Telephone | 832-479-9561
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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