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General NPI Number Information
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NPI Number | 1871795930
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Entity Type | Organization
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Legal Business Name | A.S.U.I HEALTHCARE AND DEVELOPMENT CENTER
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 1140 WESTMONT DR STE 415
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City | HOUSTON
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State | TX
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Zip | 77015-4368
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Country | US
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Telephone | 713-330-0296
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Fax | 713-330-4114
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Provider Business Mailing Address
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Address Line | 1140 WESTMONT DR STE 415
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City | HOUSTON
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State | TX
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Zip | 77015-4368
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Country | US
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Telephone | 713-330-0296
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Fax | 713-330-4114
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | DIANN SIMIEN
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Credential | BACHELOR'S DEGREE
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Telephone | 713-330-0296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | TX
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