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General NPI Number Information
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NPI Number | 1942150370
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Entity Type | Individual
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Provider Name | ANTOINETTE LILLIAN VINCENT LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 12234 SHADOW CREEK PKWY STE 10106
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City | PEARLAND
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State | TX
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Zip | 77584-7343
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Country | US
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Telephone | 346-206-3992
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Fax | 832-652-3626
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Provider Business Mailing Address
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Address Line | 14930 MUESCHKE RD STE 100
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City | CYPRESS
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State | TX
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Zip | 77433-0980
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Country | US
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Telephone | 346-206-3992
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Fax | 832-652-3626
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 104212
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License Number State | TX
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