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General NPI Number Information
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NPI Number | 1881737674
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Entity Type | Individual
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Provider Name | GENE C BAIN LPC, LCDC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 10333 NORTHWEST FWY 505
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City | HOUSTON
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State | TX
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Zip | 77092-8235
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Country | US
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Telephone | 713-256-1127
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Fax | 281-261-0334
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Provider Business Mailing Address
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Address Line | 1243 MOUNTAIN LAKE DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1509
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Country | US
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Telephone | 713-256-1127
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Fax | 281-261-0334
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 9950
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18797
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License Number State | TX
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