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General NPI Number Information
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NPI Number | 1114116712
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Entity Type | Individual
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Provider Name | MAHNAZ KOLAINI M.ED., LPC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 21308 PROVINCIAL BLVD
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City | KATY
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State | TX
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Zip | 77450-7580
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Country | US
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Telephone | 713-301-0041
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Fax |
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Provider Business Mailing Address
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Address Line | 5910 CENTENNIAL GLEN DR
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City | KATY
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State | TX
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Zip | 77450-7059
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Country | US
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Telephone | 281-450-7009
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Fax | 281-647-0020
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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 | 62081
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License Number State | TX
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