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General NPI Number Information
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NPI Number | 1619527553
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Entity Type | Organization
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Legal Business Name | SKYE EMPOWERMENT SERVICES
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1601 MAIN ST STE 502
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City | RICHMOND
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State | TX
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Zip | 77469-3244
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Country | US
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Telephone | 281-865-5670
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Fax | 281-302-5873
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Provider Business Mailing Address
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Address Line | 1601 MAIN ST STE 502
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City | RICHMOND
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State | TX
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Zip | 77469-3244
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Country | US
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Telephone | 281-865-5670
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Fax | 281-302-5873
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROLFWALTERS ENOWBESONG
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Credential |
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Telephone | 832-489-5731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 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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