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General NPI Number Information
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NPI Number | 1548002298
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Entity Type | Individual
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Provider Name | MEIKA CHERNELLE DENNIS M.A.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 9950 WESTPARK DR STE 304
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City | HOUSTON
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State | TX
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Zip | 77063-5199
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Country | US
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Telephone | 225-620-1193
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Fax |
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Provider Business Mailing Address
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Address Line | 26906 JASMINE BREEZE DR
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City | KATY
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State | TX
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Zip | 77493-5301
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Country | US
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Telephone | 713-794-6568
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 90976
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License Number State | TX
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