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General NPI Number Information
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NPI Number | 1801032560
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Entity Type | Organization
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Legal Business Name | NATIONALHEALTHCARESERVICESINC
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Dates
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Enumeration Date | 12/31/2008
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Last Update Date | 12/31/2008
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Provider Practice Location Address
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Address Line | 6610 HARWIN DR STE 230 6610 HARWIN DR #230
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City | HOUSTON
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State | TX
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Zip | 77036-2227
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Country | US
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Telephone | 713-266-4938
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Fax | 713-953-1854
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Provider Business Mailing Address
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Address Line | 6610 HARWIN DR STE 230 6610 HARWIN DR # 230
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City | HOUSTON
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State | TX
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Zip | 77036-2227
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Country | US
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Telephone | 713-266-4938
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Fax | 713-953-1854
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. LAWERENCE JULIAN RUCKER
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Credential | LCDC
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Telephone | 713-266-4938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 14325
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License Number State | TX
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