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General NPI Number Information
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NPI Number | 1619175841
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL REHABILITATION SOLUTIONS, LP
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 2450 FONDREN RD 312
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City | HOUSTON
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State | TX
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Zip | 77063-2318
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Country | US
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Telephone | 713-914-0277
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Fax | 713-914-0277
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Provider Business Mailing Address
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Address Line | 2450 FONDREN RD 312
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City | HOUSTON
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State | TX
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Zip | 77063-2318
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Country | US
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Telephone | 713-914-0277
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Fax | 713-789-7351
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Authorized Official
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Title or Position | OWNER
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Name | DR. STUART J NATHAN
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Credential | PH.D.
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Telephone | 713-914-0277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 19656
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 14397
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 23421
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 23421
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 22630
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23367
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License Number State | TX
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