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General NPI Number Information
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NPI Number | 1053703322
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Entity Type | Individual
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Provider Name | TIKISHA WALWYN-DUQUESNAY
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Gender | Female
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 12531 W HWY 71 P3007
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City | BEE CAVE
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State | TX
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Zip | 78738-6640
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Country | US
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Telephone | 713-979-6746
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Fax |
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Provider Business Mailing Address
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Address Line | 6671 SOUTHWEST FREEWAY HOUSTON SUITE 700
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 832-617-0338
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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 | 67100
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License Number State | TX
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