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General NPI Number Information
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NPI Number | 1598040032
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Entity Type | Organization
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Legal Business Name | PARRIS FOUNDATION
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Dates
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Enumeration Date | 10/16/2011
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 4410 NAVIGATION BLVD
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City | HOUSTON
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State | TX
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Zip | 77011-1036
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Country | US
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Telephone | 832-647-8234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2912
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City | HUMBLE
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State | TX
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Zip | 77347-2912
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Country | US
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Telephone | 832-647-8234
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. KATHERINE MARIE BACON
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Credential | PH.D.
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Telephone | 832-647-8234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 20032
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 20032
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License Number State | TX
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