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General NPI Number Information
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NPI Number | 1023162377
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Entity Type | Individual
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Provider Name | MS. SANDRA S CARLSON
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4119 MONTROSE BLVD SUITE 450
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City | HOUSTON
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State | TX
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Zip | 77006-4963
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Country | US
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Telephone | 713-522-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 8303 BO JACK DR
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City | HOUSTON
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State | TX
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Zip | 77040-1534
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Country | US
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Telephone | 713-896-8813
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Fax | 713-937-4879
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SO2434
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License Number State | TX
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