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General NPI Number Information
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NPI Number | 1487121729
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Entity Type | Individual
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Provider Name | JEANNIE MARIE MCCRAY BEHAVIOR HEALTH TECH
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Gender | Female
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 3008 BLODGETT ST
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City | HOUSTON
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State | TX
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Zip | 77004-5304
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Country | US
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Telephone | 713-663-3291
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Fax |
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Provider Business Mailing Address
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Address Line | 15035 WESTPARK DR APT 810
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City | HOUSTON
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State | TX
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Zip | 77082-3946
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Country | US
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Telephone | 512-633-8626
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TX
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