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General NPI Number Information
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NPI Number | 1164717914
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Entity Type | Individual
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Provider Name | JAMES SHELDON SARGENT LCDC
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Gender | Male
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 10010 KEMPWOOD DR #126
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City | HOUSTON
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State | TX
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Zip | 77080-2694
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Country | US
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Telephone | 713-962-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 550 WESTCOTT ST SUITE 420
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City | HOUSTON
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State | TX
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Zip | 77007-9015
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Country | US
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Telephone | 713-962-6240
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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 | 10601
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License Number State | TX
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