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General NPI Number Information
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NPI Number | 1659215788
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Entity Type | Organization
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Legal Business Name | ANGRENE INC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 13623 HB COLLINS DR
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City | KENDLETON
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State | TX
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Zip | 77451-0701
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Country | US
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Telephone | 832-216-5046
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 EMILEE CT
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City | ROSENBERG
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State | TX
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Zip | 77471-2166
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Country | US
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Telephone | 832-216-5046
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA HUMPHREY
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Credential |
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Telephone | 832-216-5046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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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