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General NPI Number Information
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NPI Number | 1669977468
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Entity Type | Organization
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Legal Business Name | DISTINCT ABILITIES ACADEMIC PRESCHOOL, LLC
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 14045 SPACE CENTER BLVD.
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City | HOUSTON
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State | TX
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Zip | 77062
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Country | US
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Telephone | 281-488-0436
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Fax | 281-488-0102
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Provider Business Mailing Address
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Address Line | 14045 SPACE CENTER BLVD.
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City | HOUSTON
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State | TX
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Zip | 77062
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Country | US
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Telephone | 281-488-0436
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Fax | 281-488-0102
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. VALERIE CAROL CONNATSER
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Credential |
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Telephone | 281-770-6215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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