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General NPI Number Information
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NPI Number | 1295010130
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Entity Type | Organization
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Legal Business Name | COALESCE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 10/11/2011
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 8411 W BELLFORT ST SUITE 110B
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City | HOUSTON
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State | TX
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Zip | 77071-2205
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Country | US
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Telephone | 713-534-1371
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Fax | 832-767-3762
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Provider Business Mailing Address
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Address Line | 8411 W BELLFORT ST SUITE 110B
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City | HOUSTON
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State | TX
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Zip | 77071-2205
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Country | US
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Telephone | 713-534-1371
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Fax | 832-767-3762
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Authorized Official
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Title or Position | CEO
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Name | MRS. GLORIA J. FRANCIS
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Credential |
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Telephone | 713-534-1371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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