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General NPI Number Information
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NPI Number | 1841501293
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Entity Type | Organization
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Legal Business Name | FIRST CLASS GROUP, INC.
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 6501 FULTON STREET
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City | HOUSTON
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State | TX
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Zip | 77022
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Country | US
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Telephone | 713-694-8100
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Fax | 713-694-1155
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Provider Business Mailing Address
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Address Line | 6501 FULTON STREET
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City | HOUSTON
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State | TX
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Zip | 77022
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Country | US
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Telephone | 713-694-8100
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Fax | 713-694-1155
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Authorized Official
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Title or Position | PRESIDENT/PROGRAM SPONSOR
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Name | MR. FARRUKH SHAMSI
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Credential | MBA
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Telephone | 713-694-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 0000046
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License Number State | TX
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