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General NPI Number Information
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NPI Number | 1750872537
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Entity Type | Individual
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Provider Name | ROSE HANEY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2018
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Last Update Date | 05/28/2018
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Provider Practice Location Address
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Address Line | 13700 VETERANS MEMORIAL DR # 245
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City | HOUSTON
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State | TX
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Zip | 77014-1026
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Country | US
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Telephone | 678-979-7164
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Fax |
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Provider Business Mailing Address
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Address Line | 9507 GRAMOND HALL CT
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City | SPRING
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State | TX
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Zip | 77379-3351
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Country | US
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Telephone | 167-897-9716
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 37707
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License Number State | TX
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