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General NPI Number Information
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NPI Number | 1043205198
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Entity Type | Individual
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Provider Name | VICTORIA JENICE SLOAN PH.D
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Gender | Female
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7447 HARWIN DR STE 215A
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City | HOUSTON
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State | TX
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Zip | 77036-2016
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Country | US
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Telephone | 713-521-2155
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Fax | 713-266-2067
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Provider Business Mailing Address
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Address Line | 1139 GLORIA CT
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City | SUGAR LAND
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State | TX
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Zip | 77478-3844
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Country | US
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Telephone | 281-491-2990
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Fax | 281-491-4835
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2-3481
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License Number State | TX
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