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General NPI Number Information
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NPI Number | 1669067856
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Entity Type | Organization
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Legal Business Name | STATS FAMILY CARE LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 13611 SADDLEBRED SPRINGS LN
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City | CYPRESS
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State | TX
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Zip | 77429-7446
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Country | US
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Telephone | 832-397-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 13611 SADDLEBRED SPRINGS LN
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City | CYPRESS
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State | TX
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Zip | 77429-7446
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Country | US
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Telephone | 832-397-0569
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LUCIOUS HOSKINS
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Credential |
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Telephone | 832-397-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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