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General NPI Number Information
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NPI Number | 1265766489
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Entity Type | Individual
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Provider Name | MRS. CHRISTY LEA MCGUILL
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Gender | Female
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 17045 EL CAMINO REAL #106
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City | HOUSTON
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State | TX
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Zip | 77058-2649
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Country | US
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Telephone | 281-480-5648
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Fax |
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Provider Business Mailing Address
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Address Line | 3129 MISTY SHORE DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-5991
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Country | US
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Telephone | 281-535-4786
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 108595
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License Number State | TX
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