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General NPI Number Information
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NPI Number | 1700659596
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Entity Type | Individual
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Provider Name | RATTIKA OU LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 12/29/2024
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Provider Practice Location Address
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Address Line | 13810 CHAMPION FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77069-1844
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Country | US
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Telephone | 808-228-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 13810 CHAMPION FOREST DR STE 150
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City | HOUSTON
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State | TX
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Zip | 77069-1883
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Country | US
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Telephone | 346-299-7980
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-4931
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License Number State | HI
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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 | 107387
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License Number State | TX
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