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General NPI Number Information
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NPI Number | 1265859474
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Entity Type | Individual
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Provider Name | TANESHA AUSTIN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 5010 LAURA LEE LN
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City | PASADENA
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State | TX
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Zip | 77504-2380
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Country | US
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Telephone | 832-275-2505
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Fax | 713-750-9187
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Provider Business Mailing Address
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Address Line | PO BOX 24648
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City | HOUSTON
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State | TX
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Zip | 77229-4648
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Country | US
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Telephone | 832-470-5764
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Fax | 832-404-2442
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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