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General NPI Number Information
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NPI Number | 1588020796
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Entity Type | Individual
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Provider Name | KANDI ROKEYSHA BRISCOE LCSW-S
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Gender | Female
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 2908 SILHOUETTE BAY DR
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City | PEARLAND
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State | TX
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Zip | 77584-3470
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Country | US
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Telephone | 409-210-9717
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Fax | 409-220-0110
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Provider Business Mailing Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax | 713-794-7803
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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 | 61778
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 61778
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 61778
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License Number State | TX
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