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General NPI Number Information
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NPI Number | 1700101771
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Entity Type | Organization
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Legal Business Name | JOAN WELTZIEN EDD
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 04/02/2010
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Provider Practice Location Address
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Address Line | 3000 WESLAYAN ST SUITE 255
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City | HOUSTON
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State | TX
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Zip | 77027-5700
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Country | US
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Telephone | 713-621-6665
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Fax | 713-522-9522
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Provider Business Mailing Address
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Address Line | 3000 WESLAYAN ST SUITE 255
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City | HOUSTON
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State | TX
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Zip | 77027-5700
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Country | US
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Telephone | 713-621-6665
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Fax | 713-522-9522
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JOAN WELTZIEN
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Credential | EDD
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Telephone | 713-621-6665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 23011
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License Number State | TX
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