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General NPI Number Information
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NPI Number | 1750719266
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Entity Type | Organization
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Legal Business Name | SUBURBAN OUTLOOK FOR RECOVERY & ACADEMIC EXCHANGE INC.
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 10/18/2013
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Provider Practice Location Address
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Address Line | 7903 OXFORDSHIRE DR
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City | SPRING
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State | TX
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Zip | 77379-4669
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Country | US
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Telephone | 832-257-1140
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Fax | 832-203-6387
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Provider Business Mailing Address
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Address Line | 7312 LOUETTA RD STE B118 #109
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City | SPRING
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State | TX
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Zip | 77379-6176
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Country | US
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Telephone | 832-257-1140
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Fax | 832-203-6387
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Authorized Official
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Title or Position | PRESIDENT/MANAGING EMPLOYEE
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Name | MS. ROZELLA GRAY
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Credential |
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Telephone | 832-257-1140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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