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General NPI Number Information
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NPI Number | 1033115662
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Entity Type | Individual
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Provider Name | RENELDA CLAIRE ROBERSON LPC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1319 LIVE OAK ST
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City | HOUSTON
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State | TX
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Zip | 77003-4408
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Country | US
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Telephone | 713-642-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 4519 WHITE ROCK ST
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City | HOUSTON
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State | TX
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Zip | 77051-2041
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Country | US
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Telephone | 713-738-0625
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 13806
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License Number State | TX
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