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General NPI Number Information
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NPI Number | 1891515813
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Entity Type | Individual
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Provider Name | MI'CAH TALOR DUCROS LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 17844 MOUND RD STE H
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City | CYPRESS
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State | TX
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Zip | 77433-4919
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Country | US
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Telephone | 281-944-7922
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 ANVIL DR
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City | HOUSTON
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State | TX
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Zip | 77090-2112
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Country | US
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Telephone | 713-444-0228
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204627
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License Number State | TX
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