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General NPI Number Information
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NPI Number | 1407126832
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Entity Type | Individual
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Provider Name | PAMELA A COSART M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/02/2012
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Last Update Date | 01/02/2012
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Provider Practice Location Address
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Address Line | 17150 SPRING CYPRESS RD
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City | CYPRESS
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State | TX
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Zip | 77429-1762
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Country | US
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Telephone | 281-468-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 3410 CHAPEL SQUARE DR
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City | SPRING
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State | TX
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Zip | 77388-5160
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Country | US
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Telephone | 281-468-2888
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 66526
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License Number State | TX
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