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General NPI Number Information
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NPI Number | 1376820530
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Entity Type | Organization
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Legal Business Name | A AFFORDABLE COUNSELING INTERVENTIONS LLC
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 7007 NORTH FWY #225
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City | HOUSTON
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State | TX
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Zip | 77076-1324
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Country | US
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Telephone | 832-830-5259
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Fax |
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Provider Business Mailing Address
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Address Line | 5090RICHMOND AVE. #117 117
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City | HOUSTON
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State | TX
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Zip | 77056
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Country | US
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Telephone | 832-830-5259
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. THEODORE M HERRING JR.
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Credential | M.D.
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Telephone | 832-830-5259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | E2228
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License Number State | TX
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