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General NPI Number Information
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NPI Number | 1700736584
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Entity Type | Organization
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Legal Business Name | DANSHALOM BEHAVIORAL CLINIC LLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 4830 SILVERLAKE DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-5252
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Country | US
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Telephone | 346-855-6216
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Fax | 582-998-2896
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Provider Business Mailing Address
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Address Line | 4830 SILVERLAKE DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-5252
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Country | US
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Telephone | 346-855-6216
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Fax | 582-998-2896
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Authorized Official
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Title or Position | CEO
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Name | VICTOR ONODJACHA
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Credential |
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Telephone | 346-855-6216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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