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General NPI Number Information
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NPI Number | 1972051498
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Entity Type | Individual
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Provider Name | SUZANNE REDMOND HORNBUCKLE LPC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 9111 KATY FWY STE 310
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City | HOUSTON
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State | TX
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Zip | 77024-1615
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Country | US
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Telephone | 281-964-9889
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Fax |
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Provider Business Mailing Address
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Address Line | 4582 KINGWOOD DR # E138
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City | KINGWOOD
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State | TX
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Zip | 77345-2639
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Country | US
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Telephone | 713-899-1016
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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 | 71002
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License Number State | TX
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