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General NPI Number Information
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NPI Number | 1306259379
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Entity Type | Organization
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Legal Business Name | PERCIPIO PLLC
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Dates
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Enumeration Date | 06/08/2014
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 5858 WESTHEIMER RD STE 200
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City | HOUSTON
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State | TX
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Zip | 77057-5643
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Country | US
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Telephone | 713-487-9310
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Fax | 713-489-1719
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Provider Business Mailing Address
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Address Line | 5858 WESTHEIMER RD STE 200
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City | HOUSTON
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State | TX
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Zip | 77057-5643
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Country | US
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Telephone | 713-487-9310
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Fax | 713-489-1719
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Authorized Official
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Title or Position | OWNER
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Name | ANDRES TAPIA
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Credential | P.H.D
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Telephone | 713-487-9310
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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 | 66505
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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