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General NPI Number Information
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NPI Number | 1740643642
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Entity Type | Organization
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Legal Business Name | SGA SERVICES TEXAS, LLC
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 2200 NORTH LOOP W SUITE 351
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City | HOUSTON
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State | TX
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Zip | 77018-8009
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Country | US
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Telephone | 713-818-5374
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Fax | 832-553-2546
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Provider Business Mailing Address
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Address Line | PO BOX 924705
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City | HOUSTON
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State | TX
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Zip | 77292-4705
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Country | US
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Telephone | 713-818-5374
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Fax | 832-553-2546
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Authorized Official
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Title or Position | OWNER
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Name | SONYA ADAMS
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Credential | LCSW
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Telephone | 713-818-5374
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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 | 53752
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License Number State | TX
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