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General NPI Number Information
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NPI Number | 1649154212
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Entity Type | Organization
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Legal Business Name | PINEY SHORES PSYCHIATRY PLLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1500 S DAIRY ASHFORD RD
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City | HOUSTON
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State | TX
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Zip | 77077-3854
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Country | US
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Telephone | 832-517-9609
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S DAIRY ASHFORD RD
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City | HOUSTON
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State | TX
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Zip | 77077-3854
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Country | US
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Telephone | 832-517-9609
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUGUSTA CHIKA ANYAMA
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Credential |
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Telephone | 337-223-9487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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