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General NPI Number Information
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NPI Number | 1992674006
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Entity Type | Organization
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Legal Business Name | INNERLIGHT CO PLLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 5718 WESTHEIMER ROAD SUITE 1000
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City | HOUSTON
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State | TX
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Zip | 77057
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Country | US
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Telephone | 804-274-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 24 GREENWAY PLZ STE 1800 STE 1800
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City | HOUSTON
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State | TX
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Zip | 77046-2457
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Country | US
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Telephone | 804-274-8511
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | SHAKEEL GREEN
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Credential |
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Telephone | 804-274-8511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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