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General NPI Number Information
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NPI Number | 1629278684
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Entity Type | Organization
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Legal Business Name | PERKINS ENTERPRISES, LLC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 10570 FUQUA ST
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City | HOUSTON
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State | TX
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Zip | 77089-1402
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Country | US
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Telephone | 832-208-4731
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 751562 10570 FUQUA ST
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City | HOUSTON
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State | TX
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Zip | 77275-1562
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Country | US
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Telephone | 832-208-4731
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. SANDRA MENEFIELD PERKINS
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Credential | ADMINISTRATOR
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Telephone | 832-208-4731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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