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General NPI Number Information
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NPI Number | 1790021541
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Entity Type | Organization
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Legal Business Name | EASTER SEALS OF GREATER HOUSTON INC.
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 4888 LOOP CENTRAL DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77081-2227
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Country | US
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Telephone | 713-838-9050
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Fax | 713-838-0912
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Provider Business Mailing Address
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Address Line | 4888 LOOP CENTRAL DR STE 200
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City | HOUSTON
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State | TX
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Zip | 77081-2227
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Country | US
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Telephone | 713-838-9050
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Fax | 713-838-0912
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | MS. MIAYA ALLEN
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Credential | M.A. CCC-SLP
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Telephone | 832-570-8753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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