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General NPI Number Information
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NPI Number | 1043136567
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Entity Type | Individual
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Provider Name | CALESHEA RENE' WHARTON SSP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1619 BIG HORN DR
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City | HOUSTON
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State | TX
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Zip | 77090-1862
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Country | US
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Telephone | 281-748-7963
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 BIG HORN DR
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City | HOUSTON
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State | TX
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Zip | 77090-1862
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Country | US
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Telephone | 281-748-7963
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 72948
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License Number State | TX
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