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General NPI Number Information
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NPI Number | 1992108153
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Entity Type | Organization
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Legal Business Name | THE DEVEREUX FOUNDATION
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 1150 DEVEREUX DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-2043
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Country | US
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Telephone | 281-335-1000
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Fax | 281-554-7447
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Provider Business Mailing Address
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Address Line | 1150 DEVEREUX DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-2043
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Country | US
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Telephone | 281-335-1000
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Fax | 281-554-7447
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. PAMELA E. HELM
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Credential |
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Telephone | 281-335-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 000718
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 000718
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License Number State | TX
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