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General NPI Number Information
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NPI Number | 1821691445
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE BY P&C LLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 5300 N BREASWOOD BLVD STE 4, #5020
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City | HOUSTON
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State | TX
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Zip | 77096-4657
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Country | US
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Telephone | 832-654-6158
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 N BREASWOOD BLVD STE 4, #5020
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City | HOUSTON
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State | TX
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Zip | 77096-4657
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Country | US
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Telephone | 832-654-6158
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Fax |
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Authorized Official
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Title or Position | COO
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Name | CYNISE HYLTON
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Credential | NP
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Telephone | 816-522-2528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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