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General NPI Number Information
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NPI Number | 1992187066
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Entity Type | Organization
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Legal Business Name | FIRST BAPTIST CHURCH OF HOUSTON
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 7401 KATY FWY SUITE 600
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City | HOUSTON
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State | TX
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Zip | 77024-2101
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Country | US
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Telephone | 713-335-6460
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Fax |
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Provider Business Mailing Address
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Address Line | 7401 KATY FWY SUITE 600
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City | HOUSTON
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State | TX
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Zip | 77024-2101
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Country | US
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Telephone | 713-335-6460
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE PASTOR
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Name | DR. DAVID SELF
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Credential | DMIN
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Telephone | 713-957-6780
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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 | 14882
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License Number State | TX
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