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General NPI Number Information
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NPI Number | 1457456469
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Entity Type | Organization
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Legal Business Name | PSY CARE PPLC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2330 TIMBER SHADOWS DR STE 106
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City | KINGWOOD
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State | TX
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Zip | 77339-2042
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Country | US
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Telephone | 832-250-2301
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Fax | 281-313-0559
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Provider Business Mailing Address
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Address Line | 2330 TIMBER SHADOWS DR STE 106
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City | KINGWOOD
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State | TX
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Zip | 77339-2042
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Country | US
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Telephone | 832-250-2301
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA L. STARR
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Credential | FNP
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Telephone | 832-428-2963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 146655
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License Number State | NC
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