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General NPI Number Information
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NPI Number | 1619777422
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Entity Type | Individual
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Provider Name | RICHARD JENNINGS
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Gender | Male
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 4606 FM 1960 RD W STE 690
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City | HOUSTON
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State | TX
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Zip | 77069-4657
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Country | US
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Telephone | 281-635-3500
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Fax | 346-566-2079
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Provider Business Mailing Address
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Address Line | 20019 OLAND WAY
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City | HOUSTON
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State | TX
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Zip | 77073-6195
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Country | US
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Telephone | 281-635-3500
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Fax | 346-566-2079
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 18149
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License Number State | TX
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