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General NPI Number Information
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NPI Number | 1982824637
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Entity Type | Organization
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Legal Business Name | BAY ALLEN SOCIAL SERVICES
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 2690 HOLLY HALL ST APT A
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City | HOUSTON
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State | TX
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Zip | 77054-4210
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Country | US
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Telephone | 832-439-2174
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Fax | 281-974-3402
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Provider Business Mailing Address
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Address Line | 2690 HOLLY HALL ST APT A
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City | HOUSTON
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State | TX
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Zip | 77054-4210
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Country | US
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Telephone | 832-439-2174
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Fax | 281-974-3402
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Authorized Official
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Title or Position | OWNER
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Name | MR. FITZHERBERT HENDERSON LEGALL
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Credential |
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Telephone | 832-439-2174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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