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General NPI Number Information
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NPI Number | 1952736258
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Entity Type | Organization
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Legal Business Name | GENERATIONAL CHANGE INC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 9894 BISSONNET ST SUITE 640
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City | HOUSTON
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State | TX
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Zip | 77036-8239
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Country | US
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Telephone | 713-778-0124
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Fax | 713-583-0990
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Provider Business Mailing Address
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Address Line | 9894 BISSONNET ST SUITE 640
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City | HOUSTON
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State | TX
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Zip | 77036-8239
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Country | US
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Telephone | 713-778-0124
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Fax | 713-583-0990
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ELEANOR E MARSH
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Credential |
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Telephone | 713-778-0124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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