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General NPI Number Information
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NPI Number | 1669027413
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Entity Type | Organization
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Legal Business Name | GREATER HEIGHTS HOLISTIC PSYCHIATRY
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1919 NORTH LOOP W STE 280
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City | HOUSTON
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State | TX
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Zip | 77008-1368
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Country | US
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Telephone | 832-930-1202
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Fax | 832-304-6385
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Provider Business Mailing Address
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Address Line | 1111 NORTH LOOP W STE 900
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City | HOUSTON
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State | TX
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Zip | 77008-4716
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Country | US
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Telephone | 832-930-1202
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Fax | 832-304-6385
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Authorized Official
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Title or Position | CEO
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Name | DHARMENDRA KUMAR
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Credential |
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Telephone | 832-930-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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