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General NPI Number Information
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NPI Number | 1225461395
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Entity Type | Organization
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Legal Business Name | SCOTT ANENBERG PSYCHOTHERAPY
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 3000 RICHMOND AVE STE 425
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City | HOUSTON
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State | TX
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Zip | 77098-3188
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Country | US
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Telephone | 281-536-5461
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Fax | 866-941-4896
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Provider Business Mailing Address
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Address Line | 3000 RICHMOND AVE STE 425
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City | HOUSTON
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State | TX
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Zip | 77098-3188
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Country | US
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Telephone | 281-536-5461
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Fax | 866-941-4896
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Authorized Official
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Title or Position | PSYCHOTHERAPY
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Name | JOSEPH SCOTT ANENBERG
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Credential | MA;LPC-S
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Telephone | 281-536-5461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 18106
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License Number State | TX
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