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General NPI Number Information
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NPI Number | 1104077957
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Entity Type | Individual
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Provider Name | SUSAN LYNNE POCASANGRE LPC, LSOTP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 9100 SOUTHWEST FWY SUITE 152
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City | HOUSTON
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State | TX
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Zip | 77074-1519
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Country | US
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Telephone | 281-705-8049
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Fax | 713-776-9759
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Provider Business Mailing Address
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Address Line | 2910 COMMERCIAL CENTER BLVD SUITE 103-206
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City | KATY
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State | TX
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Zip | 77494-6583
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Country | US
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Telephone | 281-705-8049
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Fax | 713-776-9759
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 99063
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17855
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License Number State | TX
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