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General NPI Number Information
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NPI Number | 1043560188
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Entity Type | Organization
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Legal Business Name | 3M COMPANY & ASSOCIATES, INC
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 6103 SHADOW ISLE LN
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City | HOUSTON
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State | TX
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Zip | 77084-6799
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Country | US
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Telephone | 832-537-6513
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Fax |
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Provider Business Mailing Address
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Address Line | 6103 SHADOW ISLE LN
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City | HOUSTON
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State | TX
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Zip | 77084-6799
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Country | US
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Telephone | 832-537-6513
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Fax |
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | MS. ROSIETTA S. MURRAY
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Credential | LCDC
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Telephone | 832-537-6513
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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 | 9550
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 9550
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License Number State | TX
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