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General NPI Number Information
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NPI Number | 1992433809
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Entity Type | Organization
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Legal Business Name | NATE DAY HAB & SERVICES LLC
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 505 N SAM HOUSTON PKWY E STE 690
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City | HOUSTON
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State | TX
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Zip | 77060-4094
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Country | US
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Telephone | 281-513-9371
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Fax | 281-742-1004
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Provider Business Mailing Address
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Address Line | 30685 FM 2978 RD APT 311
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City | MAGNOLIA
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State | TX
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Zip | 77354-3644
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Country | US
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Telephone | 281-513-9371
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Fax | 281-742-1004
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Authorized Official
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Title or Position | OPERATOR AND OWNER
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Name | ANGELA BUIE
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Credential | N/A
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Telephone | 979-997-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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