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General NPI Number Information
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NPI Number | 1801196423
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Entity Type | Organization
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Legal Business Name | THE WORD HEALS PERSONAL CARE FACILITY
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 9713 SPRINGBROOK DR
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City | HOUSTON
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State | TX
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Zip | 77041-9025
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Country | US
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Telephone | 713-939-0666
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Fax | 713-939-0674
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Provider Business Mailing Address
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Address Line | 4020 BROADWAY BOX 262295
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City | HOUSTON
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State | TX
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Zip | 77207-2295
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Country | US
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Telephone | 713-939-0666
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Fax | 713-939-0674
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. ALEXANDER O EZE
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Credential | ED.D
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Telephone | 713-444-6365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 130516
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License Number State | TX
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