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General NPI Number Information
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NPI Number | 1326683673
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Entity Type | Individual
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Provider Name | DR. MICAH J REES
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Gender | Male
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 7670 WOODWAY DR STE 360
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City | HOUSTON
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State | TX
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Zip | 77063-6500
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Country | US
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Telephone | 832-583-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 DREXEL DR
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City | KATY
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State | TX
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Zip | 77493-1710
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Country | US
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Telephone | 281-818-3819
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Fax |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 38404
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License Number State | TX
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