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General NPI Number Information
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NPI Number | 1083753362
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Entity Type | Organization
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Legal Business Name | PATHWAYS SOCIAL WORK SERVICES, LLC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 2626 SOUTH LOOP W STE 238
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-432-0381
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Fax | 713-592-9461
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Provider Business Mailing Address
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Address Line | 2626 SOUTH LOOP W STE 238
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-432-0381
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Fax | 713-592-9461
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Authorized Official
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Title or Position | OWNER
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Name | MR. VERNON EARL LOCKETT
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Credential |
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Telephone | 713-432-0381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 00514
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License Number State | TX
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