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General NPI Number Information
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NPI Number | 1154160448
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Entity Type | Organization
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Legal Business Name | SONG & JAHANIAN CLINIC PLLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 11931 S HIGHWAY 6
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City | SUGAR LAND
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State | TX
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Zip | 77498-5727
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Country | US
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Telephone | 281-533-6880
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Fax | 832-701-0115
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Provider Business Mailing Address
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Address Line | 3139 W HOLCOMBE BLVD STE 120
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City | HOUSTON
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State | TX
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Zip | 77025-1533
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Country | US
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Telephone | 281-533-6880
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Fax | 832-701-0115
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | NIKKI JOHNSON
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Credential |
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Telephone | 281-533-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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