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General NPI Number Information
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NPI Number | 1013698182
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Entity Type | Organization
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Legal Business Name | VICTORY COACHING CENTER
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 9401 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77074-1407
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Country | US
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Telephone | 713-970-4534
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Fax |
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Provider Business Mailing Address
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Address Line | 19007 DEE WOODS DR
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City | HUMBLE
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State | TX
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Zip | 77346-5042
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Country | US
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Telephone | 346-298-1720
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | LINDA WILLIAMS
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Credential |
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Telephone | 713-416-1142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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