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General NPI Number Information
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NPI Number | 1659556132
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Entity Type | Individual
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Provider Name | BERYL BUSHNELL KAMINSKY LPC, CT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 5959 WEST LOOP S STE 430
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City | BELLAIRE
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State | TX
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Zip | 77401-2403
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Country | US
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Telephone | 713-303-9021
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Fax |
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Provider Business Mailing Address
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Address Line | 3749 WAKEFOREST ST
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City | HOUSTON
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State | TX
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Zip | 77098-5511
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Country | US
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Telephone | 713-303-9021
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 20157
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License Number State | TX
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