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NPI 1568599785

NPI 1568599785 : REMEDI PLUS, INC. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1568599785
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    Entity Type          |    Organization 
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    Legal Business Name  |    REMEDI PLUS, INC. 
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Dates
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    Enumeration Date     |    02/27/2007
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    Last Update Date     |    04/06/2011
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Provider Practice Location Address
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    Address Line         |    4141 SW FWY STE. 510
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77027-7313
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    Country              |    US
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    Telephone            |    832-891-5127
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 20288 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77225-0288
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    AGENT
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    Name                 |    MS. SUMMER ONDREA WRIGHT 
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    Credential           |    
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    Telephone            |    832-891-5127
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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