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General NPI Number Information
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NPI Number | 1053095075
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Entity Type | Organization
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Legal Business Name | MULTICULTURAL BEHAVIORAL HEALTH OF TEXAS
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 8101 SHIN OAK DR APT 6116
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City | LIVE OAK
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State | TX
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Zip | 78233-2479
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Country | US
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Telephone | 864-516-9619
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 SHIN OAK DR APT 6116
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City | LIVE OAK
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State | TX
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Zip | 78233-2479
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Country | US
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Telephone | 864-516-9619
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. GHIAN FHILLIPE PIERALDI
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Credential | PSY.D.
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Telephone | 864-516-9619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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