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General NPI Number Information
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NPI Number | 1427068360
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Entity Type | Individual
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Provider Name | AMY KIZER CUELLAR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD MICHAEL E. DEBAKEY VA MEDICAL CENTER, 116MHCL-CMHP-PRRC
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 2917 PERDIDO BAY LN
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City | PEARLAND
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State | TX
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Zip | 77584-3461
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Country | US
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Telephone | 713-443-9258
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33368
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License Number State | TX
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