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General NPI Number Information
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NPI Number | 1861809469
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Entity Type | Organization
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Legal Business Name | STARPOINT EDUCATIONAL ENRICHMENT CENTER, LLC
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 6755 PHELAN BLVD SUITE 22
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City | BEAUMONT
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State | TX
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Zip | 77706-6075
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Country | US
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Telephone | 409-779-6730
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Fax | 409-554-4295
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Provider Business Mailing Address
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Address Line | PO BOX 7709
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City | BEAUMONT
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State | TX
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Zip | 77726-7709
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Country | US
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Telephone | 409-779-6730
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Fax | 409-554-4295
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. JENNIFER L FORD
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Credential | M. ED ADMIN
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Telephone | 409-779-6730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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