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General NPI Number Information
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NPI Number | 1659258325
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Entity Type | Organization
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Legal Business Name | OPTIMAL FAMILY CARE, LLC
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 12922D CUTTEN RD
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City | HOUSTON
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State | TX
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Zip | 77066-1012
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Country | US
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Telephone | 832-783-8027
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Fax | 832-509-0396
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Provider Business Mailing Address
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Address Line | 12922D CUTTEN RD
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City | HOUSTON
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State | TX
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Zip | 77066-1012
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Country | US
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Telephone | 832-783-8027
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Fax | 832-509-0396
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | VANESSA CONN
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Credential | NP
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Telephone | 832-783-8027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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