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General NPI Number Information
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NPI Number | 1700343902
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Entity Type | Organization
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Legal Business Name | TUTU FAMILY SERVICES
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Dates
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Enumeration Date | 02/23/2019
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Last Update Date | 02/23/2019
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Provider Practice Location Address
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Address Line | 6508 JENSEN DR
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City | HOUSTON
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State | TX
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Zip | 77026-1123
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Country | US
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Telephone | 832-273-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 4057 RILEY FUZZEL RD STE 500-518
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City | SPRING
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State | TX
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Zip | 77386-4632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | JESSICA ANTOINETTE JONES
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Credential | BCABA
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Telephone | 936-714-3927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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