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General NPI Number Information
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NPI Number | 1043584246
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Entity Type | Individual
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Provider Name | MRS. AMBER NICOLE HUMPHREY
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Gender | Female
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 7915 FM 1960 RD W STE 300
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City | HOUSTON
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State | TX
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Zip | 77070-2285
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Country | US
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Telephone | 713-352-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 340 N SAM HOUSTON PKWY E SUITE 199
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City | HOUSTON
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State | TX
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Zip | 77060-3305
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Country | US
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Telephone | 281-822-0808
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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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | 114232
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 114232
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 114232
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License Number State | TX
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