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General NPI Number Information
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NPI Number | 1942717012
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Entity Type | Organization
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Legal Business Name | WAYFINDERS DAY HABILITATIONS & RESPITE CARE
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 4611 W WALNUT ST
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City | PEARLAND
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State | TX
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Zip | 77581-3967
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Country | US
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Telephone | 832-670-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 4611 W WALNUT ST
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City | PEARLAND
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State | TX
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Zip | 77581-3967
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BOARD DIRECTOR/ STAFF
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Name | JOSHUA MOTEN
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Credential |
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Telephone | 832-670-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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