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General NPI Number Information
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NPI Number | 1588836928
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Entity Type | Individual
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Provider Name | GLEN RICHARD HILTON MS, LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 02/11/2011
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Provider Practice Location Address
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Address Line | 2855 MANGUM RD SUITE 465
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City | HOUSTON
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State | TX
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Zip | 77092-7493
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Country | US
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Telephone | 832-800-4500
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Fax | 713-481-0210
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Provider Business Mailing Address
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Address Line | PO BOX 541039
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City | HOUSTON
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State | TX
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Zip | 77254-1039
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Country | US
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Telephone | 832-800-4500
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Fax | 713-481-0210
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT ASSOC 201187
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License Number State | TX
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