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General NPI Number Information
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NPI Number | 1356114797
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Entity Type | Individual
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Provider Name | KELLI ELAINE HUDGINS LPC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 1000 CARVER ST
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City | BAYTOWN
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State | TX
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Zip | 77520-7982
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Country | US
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Telephone | 713-510-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 2830 MAPLE AVE
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City | GROVES
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State | TX
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Zip | 77619-5730
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Country | US
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Telephone | 409-543-3511
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 88394
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License Number State | TX
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