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General NPI Number Information
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NPI Number | 1871830893
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Entity Type | Organization
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Legal Business Name | LITT(LIFE INSPIRING THERAPEUTIC TREATMENT)
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 9914 VALLEY WIND DR
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City | HOUSTON
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State | TX
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Zip | 77078-3617
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Country | US
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Telephone | 832-896-9472
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Fax | 281-741-2648
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Provider Business Mailing Address
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Address Line | PO BOX 11581
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City | HOUSTON
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State | TX
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Zip | 77293-1581
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Country | US
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Telephone | 832-896-9472
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Fax | 281-741-2648
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHEMEKA NECOLE ALEXANDER-DAVIS
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Credential | LMT
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Telephone | 832-896-9472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable 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 | 305S00000X
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Taxonomy Name | Point of Service
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License Number | MT048720
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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