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General NPI Number Information
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NPI Number | 1942604707
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Entity Type | Individual
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Provider Name | RANA GHAZALY
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Gender | Female
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 694 WESTERN AVE
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City | LYNN
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State | MA
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Zip | 01905-2229
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Country | US
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Telephone | 781-595-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 14302 ARBORCREST ST
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City | HOUSTON
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State | TX
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Zip | 77062-2026
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Country | US
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Telephone | 708-289-6669
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 83956
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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 | 4539
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License Number State | CT
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