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General NPI Number Information
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NPI Number | 1760978548
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Entity Type | Organization
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Legal Business Name | DDWD DEVELOMENTAL HCS SERVICES INC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 14405 WALTERS RD STE 105
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City | HOUSTON
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State | TX
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Zip | 77014-1345
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Country | US
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Telephone | 281-836-5788
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Fax | 800-728-1294
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Provider Business Mailing Address
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Address Line | 14405 WALTERS RD STE 105
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City | HOUSTON
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State | TX
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Zip | 77014-1345
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Country | US
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Telephone | 281-836-5788
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Fax | 800-728-1294
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Authorized Official
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Title or Position | OWNER
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Name | WENDY M DOW
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Credential |
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Telephone | 832-933-3956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | TX
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