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General NPI Number Information
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NPI Number | 1861695454
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Entity Type | Organization
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Legal Business Name | AMAZING POSSIBILITIES, HCS
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Dates
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Enumeration Date | 06/09/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 8323 SOUTHWEST FWY SUITE 425
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City | HOUSTON
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State | TX
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Zip | 77074-1615
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Country | US
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Telephone | 713-773-2300
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Fax | 713-773-2360
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Provider Business Mailing Address
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Address Line | 12702 SANDHURST DR
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City | HOUSTON
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State | TX
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Zip | 77048-4138
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Country | US
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Telephone | 832-858-1245
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Fax | 713-773-2360
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Authorized Official
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Title or Position | CEO
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Name | ALYCIA ELAINE FRAZIER
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Credential |
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Telephone | 832-858-1245
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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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