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General NPI Number Information
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NPI Number | 1851811848
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Entity Type | Organization
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Legal Business Name | STAYING STRONG, LLC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 16518 HOUSE HAHL RD STE B6
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City | CYPRESS
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State | TX
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Zip | 77433-1901
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Country | US
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Telephone | 832-334-5254
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Fax |
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Provider Business Mailing Address
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Address Line | 26318 PLEASANT KNOLL LN
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City | CYPRESS
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State | TX
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Zip | 77433-2852
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LATASHA WALKER
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Credential |
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Telephone | 832-928-2818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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