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General NPI Number Information
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NPI Number | 1154052405
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Entity Type | Individual
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Provider Name | LATOYA TERRY HOLDER LCDC, CAMS-I
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 1803 SUN POINT CT
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City | HUMBLE
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State | TX
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Zip | 77396-3171
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Country | US
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Telephone | 281-549-0230
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 FM 1960 RD E # 338
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City | HUMBLE
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State | TX
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Zip | 77346-2209
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Country | US
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Telephone | 281-549-0230
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13082
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License Number State | TX
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