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General NPI Number Information
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NPI Number | 1801614052
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Entity Type | Individual
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Provider Name | CIJI ADLIN ROSA MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 19500 TX HIGHWAY 249 SUITE 120
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City | HOUSTON
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State | TX
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Zip | 77070-2698
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Country | US
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Telephone | 844-824-8775
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Fax | 281-648-2200
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Provider Business Mailing Address
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Address Line | 19500 STATE HIGHWAY 249 STE 120
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City | HOUSTON
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State | TX
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Zip | 77070-3027
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Country | US
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Telephone | 844-824-8775
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 105950
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License Number State | TX
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