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General NPI Number Information
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NPI Number | 1578282869
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Entity Type | Individual
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Provider Name | MANSOOR RIZVI LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 2000 NORTH LOOP W STE 100
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City | HOUSTON
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State | TX
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Zip | 77018-8104
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Country | US
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Telephone | 832-413-2410
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Fax |
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Provider Business Mailing Address
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Address Line | 7202 BARKER CYPRESS RD APT 7308
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City | CYPRESS
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State | TX
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Zip | 77433-2937
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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 |
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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 |
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License Number State |
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