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General NPI Number Information
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NPI Number | 1306225636
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Entity Type | Organization
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Legal Business Name | EPILEPSY FOUNDATION OF TEXAS
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 2401 FOUNTAIN VIEW DR SUITE 900
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City | HOUSTON
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State | TX
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Zip | 77057-4827
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Country | US
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Telephone | 713-789-6295
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Fax | 713-789-4944
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Provider Business Mailing Address
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Address Line | 2401 FOUNTAIN VIEW DR SUITE 900
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City | HOUSTON
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State | TX
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Zip | 77057-4827
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Country | US
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Telephone | 713-789-6295
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Fax | 713-789-4944
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Authorized Official
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Title or Position | CEO
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Name | DONNA STAHLHUT
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Credential |
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Telephone | 713-789-6295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SN0800X
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Taxonomy Name | Neuroscience Clinical Nurse Specialist
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License Number |
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License Number State | TX
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