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General NPI Number Information
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NPI Number | 1124679477
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Entity Type | Organization
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Legal Business Name | AZURITE COUNSELING AND WELLNESS, PLLC
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 8703 MEADOWCROFT DR
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City | HOUSTON
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State | TX
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Zip | 77063-5006
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Country | US
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Telephone | 713-840-7956
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Fax | 713-840-7957
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Provider Business Mailing Address
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Address Line | 8703 MEADOWCROFT DR
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City | HOUSTON
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State | TX
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Zip | 77063-5006
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Country | US
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Telephone | 713-840-7956
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Fax | 713-840-7957
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. VIQAR HUSSAIN
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Credential |
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Telephone | 713-840-7956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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