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General NPI Number Information
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NPI Number | 1861559411
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Entity Type | Organization
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Legal Business Name | SYLVIA DENISE GREENBAUM
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 3701 KIRBY DR 1014
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City | HOUSTON
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State | TX
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Zip | 77098-3900
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Country | US
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Telephone | 713-522-0229
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 THORNTON RD
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City | HOUSTON
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State | TX
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Zip | 77018-4143
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Country | US
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Telephone | 713-956-7522
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. SYLVIA DENISE GREENBAUM
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Credential | LPC
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Telephone | 713-522-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19513
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License Number State | TX
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