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General NPI Number Information
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NPI Number | 1093639106
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Entity Type | Individual
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Provider Name | AUBREY LAMAR MCCOY
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Gender | Male
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 3100 CLEBURNE ST
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City | HOUSTON
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State | TX
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Zip | 77004-4501
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Country | US
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Telephone | 832-894-3390
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Fax |
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Provider Business Mailing Address
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Address Line | 306 GREGG ST
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City | HOUSTON
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State | TX
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Zip | 77020-6136
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Country | US
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Telephone | 408-510-9539
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | TX
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