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General NPI Number Information
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NPI Number | 1750591368
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Entity Type | Organization
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Legal Business Name | GWENDOLYN A. GIBBS GEN PARTNER AND TAREK GIBBS
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 8389 ALMEDA RD STE H1
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City | HOUSTON
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State | TX
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Zip | 77054-4105
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Country | US
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Telephone | 713-748-8706
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Fax | 713-748-8725
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Provider Business Mailing Address
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Address Line | 8389 ALMEDA RD STE H1
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City | HOUSTON
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State | TX
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Zip | 77054-4105
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Country | US
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Telephone | 713-748-8706
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Fax | 713-748-8725
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | GWENDOLYN ARNETTA GIBBS
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Credential |
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Telephone | 713-748-8706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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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 | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 001007251
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License Number State | TX
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