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General NPI Number Information
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NPI Number | 1043922776
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Entity Type | Individual
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Provider Name | PATRINA FLANAGAN HARRIS
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Gender | Female
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 1401 NORTH LOOP W
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City | HOUSTON
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State | TX
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Zip | 77008-1647
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Country | US
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Telephone | 832-786-9668
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Fax |
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Provider Business Mailing Address
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Address Line | 12920 STEEPLE WAY BLVD APT 2
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City | HOUSTON
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State | TX
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Zip | 77065-4567
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Country | US
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Telephone | 281-830-0279
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 89405
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License Number State | TX
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