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General NPI Number Information
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NPI Number | 1275866782
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Entity Type | Organization
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Legal Business Name | MIDTOWN PSYCHOTHERAPY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 701 RICHMOND AVE SUITE 240
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City | HOUSTON
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State | TX
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Zip | 77006-5553
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Country | US
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Telephone | 713-689-8252
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Fax |
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Provider Business Mailing Address
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Address Line | 701 RICHMOND AVE SUITE 240
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City | HOUSTON
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State | TX
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Zip | 77006-5553
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Country | US
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Telephone | 713-689-8252
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. DIPALI VENKATARAMAN RINKER
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Credential | M.A., LPC
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Telephone | 713-689-8252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62763
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62259
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62198
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License Number State | TX
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