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General NPI Number Information
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NPI Number | 1750778056
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Entity Type | Organization
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Legal Business Name | DICOM HEALTH CARE SERVICES INC.
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 1403 HUNTER RIDGE CT
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City | FRESNO
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State | TX
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Zip | 77545-7532
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Country | US
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Telephone | 832-848-1150
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Fax | 281-957-5666
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Provider Business Mailing Address
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Address Line | 1403 HUNTER RIDGE CT
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City | FRESNO
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State | TX
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Zip | 77545-7532
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Country | US
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Telephone | 832-848-1150
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Fax | 281-957-5666
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. MAUREEN ULOMA ABUACHI
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Credential | PSYCH TECH
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Telephone | 832-353-5938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | TX
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