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General NPI Number Information
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NPI Number | 1639896855
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Entity Type | Organization
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Legal Business Name | DIGNIFIED TECH LLC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 440 LOUISIANA ST STE 900
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City | HOUSTON
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State | TX
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Zip | 77002-1062
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Country | US
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Telephone | 832-712-7899
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Fax |
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Provider Business Mailing Address
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Address Line | 14405 WALTERS RD STE 1024
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City | HOUSTON
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State | TX
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Zip | 77014-1493
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Country | US
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Telephone | 832-712-7899
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Fax |
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | KEYUANTE DOWNEY
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Credential |
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Telephone | 832-712-7899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care 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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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