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General NPI Number Information
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NPI Number | 1932763752
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Entity Type | Individual
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Provider Name | GEORGETTE GEORGE CSW
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Gender | Female
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 281-513-8619
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 WATERSIDE VILLAGE DR APT 223
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City | RICHMOND
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State | TX
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Zip | 77407-6918
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Country | US
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Telephone | 832-714-8395
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 15300
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License Number State | LA
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