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General NPI Number Information
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NPI Number | 1477093995
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Entity Type | Organization
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Legal Business Name | MYOUNG SHIN HILSON PSYCHOTHERAPY
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 1100 NASA PKWY STE 101
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City | HOUSTON
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State | TX
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Zip | 77058-3325
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Country | US
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Telephone | 832-930-2381
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Fax |
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Provider Business Mailing Address
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Address Line | 4215 MANORDALE DR
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City | PASADENA
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State | TX
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Zip | 77505-4424
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Country | US
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Telephone | 281-998-0986
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MYOUNG SHIN HILSON
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Credential | LPC
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Telephone | 281-636-2052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 66174
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License Number State | TX
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