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General NPI Number Information
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NPI Number | 1336532399
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Entity Type | Organization
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Legal Business Name | HOUSTON C.O.P.E.S.
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 723 MAIN ST STE 425
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City | HOUSTON
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State | TX
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Zip | 77002-3311
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Country | US
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Telephone | 713-805-8054
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Fax |
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Provider Business Mailing Address
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Address Line | 723 MAIN ST STE 425
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City | HOUSTON
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State | TX
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Zip | 77002-3311
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Country | US
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Telephone | 713-805-8054
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. UCHE CHIBUEZE
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Credential | PSYD
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Telephone | 713-805-8054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 34659
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License Number State | TX
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