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General NPI Number Information
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NPI Number | 1669005518
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Entity Type | Individual
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Provider Name | ANNIE ATWOOD LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 1350 NASA PKWY STE 210
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City | HOUSTON
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State | TX
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Zip | 77058-2800
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Country | US
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Telephone | 281-508-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 18218 LAKESIDE LN
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City | HOUSTON
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State | TX
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Zip | 77058-4330
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Country | US
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Telephone | 713-397-2797
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 53698
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 53698
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License Number State | TX
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