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General NPI Number Information
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NPI Number | 1821431834
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Entity Type | Organization
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Legal Business Name | ASSURANCE PERSONAL CARE AND COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 19703 MOSS BARK TRAIL
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City | RICHMOND
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State | TX
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Zip | 77407
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Country | US
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Telephone | 281-701-1692
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 2236
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City | ALIEF
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State | TX
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Zip | 77411
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Country | US
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Telephone | 281-701-1692
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUDITH NWOKORIE
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Credential |
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Telephone | 281-701-1692
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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 |
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