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General NPI Number Information
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NPI Number | 1629552872
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Entity Type | Individual
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Provider Name | ALEXANDRA CALOUDAS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2018
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Last Update Date | 09/23/2018
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Provider Practice Location Address
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Address Line | 4130 BELLAIRE BLVD STE 208
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City | HOUSTON
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State | TX
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Zip | 77025-1056
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Country | US
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Telephone | 713-993-7030
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Fax | 713-993-7774
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Provider Business Mailing Address
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Address Line | 7511 OLYMPIA DR
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City | HOUSTON
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State | TX
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Zip | 77063-1918
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Country | US
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Telephone | 573-356-5960
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Fax |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 37562
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License Number State | TX
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