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NPI 1497008577

NPI 1497008577 : KAREN CAMPBELL-LIPUT LCSW : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1497008577
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN CAMPBELL-LIPUT LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/26/2012
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    Last Update Date     |    10/26/2012
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Provider Practice Location Address
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    Address Line         |    3355 W ALABAMA ST STE 1180 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77098-1796
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    Country              |    US
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    Telephone            |    713-525-8603
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    Fax                  |    713-942-0542
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Provider Business Mailing Address
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    Address Line         |    3355 W ALABAMA ST STE 1180 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77098-1796
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    Country              |    US
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    Telephone            |    713-525-8603
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    Fax                  |    713-942-0542
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    51659
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    License Number State |    TX
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