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General NPI Number Information
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NPI Number | 1396830972
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Entity Type | Organization
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Legal Business Name | B. ORTIZ COUNSELING SERVICES CENTER
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 150 W PARKER RD STE 505
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City | HOUSTON
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State | TX
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Zip | 77076-2938
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Country | US
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Telephone | 713-851-8145
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Fax | 281-821-2282
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Provider Business Mailing Address
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Address Line | 23003 GOOD DALE LN
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City | SPRING
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State | TX
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Zip | 77373-7009
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Country | US
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Telephone | 713-851-8145
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Fax | 281-821-2282
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Authorized Official
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Title or Position | OWNER/MH PROVIDER
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Name | MISS BRUNILDA ORTIZ
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Credential | LCSW
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Telephone | 713-851-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 37259
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 37259
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License Number State | TX
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