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General NPI Number Information
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NPI Number | 1801169081
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Entity Type | Individual
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Provider Name | SHAWN HIRSCH PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 12301 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77035-6207
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Country | US
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Telephone | 713-275-5624
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Fax |
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Provider Business Mailing Address
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Address Line | 18114 MALLARD ESTATES CT
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City | CYPRESS
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State | TX
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Zip | 77429-4591
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Country | US
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Telephone | 832-413-3434
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 33413
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 33413
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 33413
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License Number State | TX
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