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General NPI Number Information
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NPI Number | 1831480227
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Entity Type | Organization
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Legal Business Name | ELNITA MCCLAIN WOMEN'S CENTER, INC
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 2223 ARBOR ST
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City | HOUSTON
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State | TX
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Zip | 77004-6026
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Country | US
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Telephone | 713-807-8898
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Fax | 713-807-7175
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Provider Business Mailing Address
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Address Line | PO BOX 88088
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City | HOUSTON
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State | TX
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Zip | 77288-0088
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Country | US
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Telephone | 713-807-8898
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Fax | 713-807-7175
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SHAMRA HODGE
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Credential |
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Telephone | 713-807-8898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 52920
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License Number State | TX
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