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General NPI Number Information
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NPI Number | 1730840570
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Entity Type | Organization
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Legal Business Name | CLARISSA CARE
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 11815 CAPITOL HEIGHTS DR
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City | HOUSTON
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State | TX
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Zip | 77065-4247
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Country | US
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Telephone | 832-455-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 12436 FM 1960 RD W # 179
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City | HOUSTON
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State | TX
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Zip | 77065-4809
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Country | US
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Telephone | 832-455-6181
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | HELEN ELIZABETH JACKSON
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Credential |
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Telephone | 832-455-6181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 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 #3
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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 #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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