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General NPI Number Information
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NPI Number | 1679191431
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Entity Type | Organization
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Legal Business Name | FLAMBOYAN SERVICES, LLC
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 8530 FM 1960 RD E STE 105
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City | HUMBLE
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State | TX
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Zip | 77346-1831
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Country | US
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Telephone | 817-707-6264
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1775
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City | EULESS
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State | TX
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Zip | 76039-1775
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Country | US
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Telephone | 817-707-6264
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DULCE TORRES
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Credential | LPC-S
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Telephone | 817-707-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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