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General NPI Number Information
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NPI Number | 1467343988
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Entity Type | Individual
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Provider Name | SHAQUITA A RENFRO
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Gender | Female
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 2915 S SAM HOUSTON PKWY E STE 100
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City | HOUSTON
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State | TX
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Zip | 77047-6510
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Country | US
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Telephone | 832-613-7763
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Fax |
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Provider Business Mailing Address
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Address Line | 8 LUCAS CHASE CT
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City | MANVEL
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State | TX
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Zip | 77578-5370
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Country | US
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Telephone | 346-303-7431
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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