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General NPI Number Information
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NPI Number | 1750571550
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Entity Type | Organization
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Legal Business Name | ENHANCEMENT EDUCATION & COUNSELING CENTER
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 15531 KUYKENDAHL RD 300
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City | HOUSTON
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State | TX
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Zip | 77090-3645
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Country | US
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Telephone | 281-687-4887
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Fax | 281-895-0811
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Provider Business Mailing Address
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Address Line | PO BOX 680885
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City | HOUSTON
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State | TX
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Zip | 77268-0885
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Country | US
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Telephone | 281-687-4887
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Fax | 281-895-0811
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Authorized Official
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Title or Position | C.O.
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Name | MS. DEMETRICE GAINES
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Credential |
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Telephone | 281-687-4887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | FB185
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License Number State | TX
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