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General NPI Number Information
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NPI Number | 1427173475
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Entity Type | Organization
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Legal Business Name | JEMAK-MULTI-SERVICE-CLINIC INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6610 HARWIN DR #226
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 713-953-1416
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Fax | 713-953-1854
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Provider Business Mailing Address
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Address Line | 6610 HARWIN DR #226
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 713-953-1416
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Fax | 713-953-1854
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Authorized Official
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Title or Position | REP
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Name | BELINDA GAIL HARDEN
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Credential |
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Telephone | 713-953-1416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12728717
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License Number State | TX
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