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General NPI Number Information
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NPI Number | 1366859415
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Entity Type | Organization
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Legal Business Name | ANNA NGANG
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 5606 GEORGETOWN COLONY DR
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City | HOUSTON
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State | TX
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Zip | 77084-7127
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Country | US
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Telephone | 832-396-5992
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Fax |
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Provider Business Mailing Address
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Address Line | 5606 GEORGETOWN COLONY DR
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City | HOUSTON
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State | TX
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Zip | 77084-7127
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Country | US
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Telephone | 832-396-5992
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MRS. ANNA N NGANG
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Credential | LMSW
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Telephone | 832-396-5992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 11941
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License Number State | TX
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