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General NPI Number Information
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NPI Number | 1588479711
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Entity Type | Organization
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Legal Business Name | COPPER AND GREENS
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 8990 KIRBY DR STE 220
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City | HOUSTON
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State | TX
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Zip | 77054-2853
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Country | US
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Telephone | 281-249-9444
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Fax | 281-809-7122
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Provider Business Mailing Address
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Address Line | 8990 KIRBY DR STE 220
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City | HOUSTON
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State | TX
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Zip | 77054-2853
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Country | US
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Telephone | 281-249-9444
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GWENDOLYN SHERRON WOODY
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Credential |
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Telephone | 281-249-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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