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General NPI Number Information
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NPI Number | 1407667082
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Entity Type | Organization
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Legal Business Name | TALA HEALTH LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 801 LOUISIANA ST STE 313
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City | HOUSTON
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State | TX
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Zip | 77002-4951
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Country | US
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Telephone | 415-275-0945
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Fax |
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Provider Business Mailing Address
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Address Line | 801 LOUISIANA ST STE 313
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City | HOUSTON
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State | TX
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Zip | 77002-4951
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Country | US
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Telephone | 415-275-0945
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Fax |
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Authorized Official
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Title or Position | CTO
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Name | QINGQING MAO
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Credential |
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Telephone | 415-805-1725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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