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General NPI Number Information
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NPI Number | 1952686503
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Entity Type | Organization
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Legal Business Name | HPW&ASSOCINC
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 6124 HIGHWAY 6 N SUITE 159
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City | HOUSTON
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State | TX
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Zip | 77084-1304
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Country | US
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Telephone | 281-763-8358
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Fax |
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Provider Business Mailing Address
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Address Line | 6124 HIGHWAY 6 N SUITE 159
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City | HOUSTON
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State | TX
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Zip | 77084-1304
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Country | US
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Telephone | 281-763-8358
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. MARK S PETTIES
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Credential |
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Telephone | 281-763-8358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | R199259
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License Number State | TX
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