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General NPI Number Information
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NPI Number | 1134427271
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Entity Type | Organization
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Legal Business Name | DUETS II
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Dates
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Enumeration Date | 03/13/2011
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Last Update Date | 03/13/2011
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Provider Practice Location Address
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Address Line | 723 MAIN ST #405
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City | HOUSTON
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State | TX
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Zip | 77002-3311
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Country | US
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Telephone | 281-367-3837
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Fax |
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Provider Business Mailing Address
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Address Line | 723 MAIN ST #405
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City | HOUSTON
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State | TX
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Zip | 77002-3311
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Country | US
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Telephone | 281-367-3837
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. VENETIA CYNTHIA WILKS
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Credential | LBSW, LCPAA, MS
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Telephone | 281-450-4879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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