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General NPI Number Information
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NPI Number | 1841741428
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Entity Type | Organization
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Legal Business Name | ITS IN MY HEART
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 6502 NUNN ST
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City | HOUSTON
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State | TX
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Zip | 77087-5932
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Country | US
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Telephone | 832-988-2222
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Fax | 179-485-5042
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Provider Business Mailing Address
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Address Line | 6502 NUNN ST
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City | HOUSTON
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State | TX
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Zip | 77087-5932
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Country | US
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Telephone | 832-988-2222
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Fax | 179-485-5042
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CYNTHIA YOLANDA STOTS
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Credential |
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Telephone | 832-988-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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