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General NPI Number Information
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NPI Number | 1114630498
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Entity Type | Organization
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Legal Business Name | T.O.U.C.H PLLC
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 01/02/2023
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Provider Practice Location Address
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Address Line | 3131 WEST LOOP S APT 326
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City | HOUSTON
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State | TX
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Zip | 77027-6130
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Country | US
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Telephone | 401-954-3493
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 300811
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City | HOUSTON
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State | TX
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Zip | 77230-0811
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Country | US
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Telephone | 401-954-3493
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | OMOLARA AJIBOLA
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Credential | LCSW
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Telephone | 401-954-3493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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