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General NPI Number Information
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NPI Number | 1760008148
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Entity Type | Individual
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Provider Name | JEWLINA COLEMAN-KING LPC
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Gender | Female
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 2211 NORFOLK ST
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City | HOUSTON
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State | TX
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Zip | 77098-4096
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Country | US
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Telephone | 832-851-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 1502 PARTNERSHIP WAY APT 5205
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City | KATY
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State | TX
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Zip | 77449-5962
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Country | US
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Telephone | 832-851-7373
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 79936
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License Number State | TX
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