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General NPI Number Information
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NPI Number | 1003614777
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Entity Type | Organization
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Legal Business Name | PISECCO & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 2503 ROBINHOOD ST STE 145
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City | HOUSTON
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State | TX
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Zip | 77005-2594
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Country | US
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Telephone | 713-398-6855
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 MARSHALL ST
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City | HOUSTON
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State | TX
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Zip | 77006-4213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEWART PISECCO
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Credential | PH.D.
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Telephone | 713-309-6855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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