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General NPI Number Information
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NPI Number | 1770887168
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Entity Type | Organization
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Legal Business Name | CULLEN PSYCHIATRIC CENTER
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 4404 ALLISON RD
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City | HOUSTON
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State | TX
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Zip | 77048-4654
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Country | US
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Telephone | 713-991-7765
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Fax | 713-991-7766
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Provider Business Mailing Address
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Address Line | 4404 ALLISON RD
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City | HOUSTON
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State | TX
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Zip | 77048-4654
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Country | US
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Telephone | 713-991-7765
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Fax | 713-991-7766
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAYNA P LEE
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Credential | MD
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Telephone | 713-991-7765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | H0554
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License Number State | TX
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