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General NPI Number Information
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NPI Number | 1700142098
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Entity Type | Organization
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Legal Business Name | TAUNJA Y. THOMAS
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 826 TEXAS PARKWAY
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City | STAFFORD
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State | TX
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Zip | 77477
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Country | US
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Telephone | 281-903-0580
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Fax | 281-499-1801
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Provider Business Mailing Address
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Address Line | 826 TEXAS PARKWAY
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City | STAFFORD
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State | TX
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Zip | 77477
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Country | US
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Telephone | 281-903-0580
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Fax | 281-499-1801
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAUNJA YVETTE THOMAS
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Credential |
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Telephone | 281-634-8479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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