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General NPI Number Information
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NPI Number | 1619011574
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICES OF SOUTHEAST TEXAS INC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 3550 FANNIN ST
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City | BEAUMONT
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State | TX
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Zip | 77701-3805
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Country | US
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Telephone | 409-833-2668
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Fax | 409-838-2558
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Provider Business Mailing Address
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Address Line | 3550 FANNIN ST
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City | BEAUMONT
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State | TX
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Zip | 77701-3805
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Country | US
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Telephone | 409-833-2668
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Fax | 409-838-2558
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Authorized Official
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Title or Position | BILLING/CREDENTIAL MANAGER
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Name | MRS. SHIRLEY ANN FIGARI
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Credential |
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Telephone | 409-833-2668
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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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