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General NPI Number Information
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NPI Number | 1992721419
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Entity Type | Organization
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Legal Business Name | ERIN BRYANT-BAINS
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12407 BRANDYWYNE DR
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City | HOUSTON
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State | TX
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Zip | 77077-4815
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Country | US
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Telephone | 713-248-1961
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Fax | 281-920-4366
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Provider Business Mailing Address
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Address Line | PO BOX 440745
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City | HOUSTON
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State | TX
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Zip | 77244-0745
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Country | US
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Telephone | 713-248-1961
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ERIN BRYANT-BAINS
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Credential | LCSW
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Telephone | 713-248-1961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14677
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License Number State | TX
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