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General NPI Number Information
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NPI Number | 1861864399
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Entity Type | Organization
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Legal Business Name | UPLIFT DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 6636 BELLFORT ST 6636 BELFORT SUITE OFFICE
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City | HOUSTON
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State | TX
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Zip | 77087-6407
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Country | US
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Telephone | 832-832-8687
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Fax |
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Provider Business Mailing Address
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Address Line | 6636 BELLFORT ST 6636 BELFORT SUITE OFFICE
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City | HOUSTON
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State | TX
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Zip | 77087-6407
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Country | US
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Telephone | 832-832-8687
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | . RODNEY UNDERWOOD
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Credential |
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Telephone | 832-868-7219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | O15990
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License Number State | TX
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