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General NPI Number Information
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NPI Number | 1154773307
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Entity Type | Individual
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Provider Name | REGINALD MCNEILL
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Gender | Male
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 9250 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77054-2500
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Country | US
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Telephone | 713-806-6317
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Fax |
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Provider Business Mailing Address
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Address Line | 12915 SOUTHERN RIDGE DR
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City | PEARLAND
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State | TX
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Zip | 77584-3791
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Country | US
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Telephone | 713-806-6317
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 58238
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License Number State | TX
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