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General NPI Number Information
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NPI Number | 1861922148
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Entity Type | Individual
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Provider Name | ANGELLE KEMYRA HARRIS MPA-MSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1880 S DAIRY ASHFORD RD STE 207
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City | HOUSTON
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State | TX
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Zip | 77077-4759
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Country | US
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Telephone | 832-409-7242
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Fax |
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Provider Business Mailing Address
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Address Line | 320 WESTWAY PL STE 530
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City | ARLINGTON
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State | TX
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Zip | 76018-1000
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Country | US
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Telephone | 817-516-9100
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Fax | 817-516-9102
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 114328
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 19899
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 114328
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License Number State | TX
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