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General NPI Number Information
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NPI Number | 1508065517
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Entity Type | Individual
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Provider Name | PATRICIA IFEOMA UGWU LPC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 770 PINELOCH DR
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City | HOUSTON
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State | TX
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Zip | 77062-2548
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Country | US
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Telephone | 281-701-3068
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Fax | 281-480-8281
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Provider Business Mailing Address
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Address Line | 14107 VILLAGE BIRCH ST
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City | HOUSTON
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State | TX
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Zip | 77062-2076
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Country | US
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Telephone | 281-701-3068
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Fax | 282-480-8218
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17423
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License Number State | TX
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