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General NPI Number Information
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NPI Number | 1124422134
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Entity Type | Individual
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Provider Name | SAMIYYAH SABUR LPC-S
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 712 WILCREST DR STE 2082
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City | HOUSTON
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State | TX
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Zip | 77042-1348
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Country | US
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Telephone | 346-814-4811
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Fax | 832-201-9827
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Provider Business Mailing Address
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Address Line | PO BOX 22273
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City | HOUSTON
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State | TX
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Zip | 77227-2273
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Country | US
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Telephone | 346-814-4811
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | TPMC3412
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 72204
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License Number State | TX
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