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General NPI Number Information
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NPI Number | 1952806002
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Entity Type | Individual
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Provider Name | ADONNA WEAVER
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Gender | Female
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 9659 N. SAM HOUSTON PARKWAY EAST SUITE 150 #324
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City | HUMBLE
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State | TX
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Zip | 77396
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Country | US
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Telephone | 979-676-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 9659 SAM HOUSTON PARKWAY EAST SUITE 150 #324
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City | HUMBLE
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State | TX
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Zip | 77396-1290
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Country | US
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Telephone | 979-676-0079
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 74166
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License Number State | TX
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