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General NPI Number Information
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NPI Number | 1003502212
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Entity Type | Individual
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Provider Name | KATY BRANCHFLOWER
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Gender | Female
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 16200 DALLAS PKWY STE 245
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City | DALLAS
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State | TX
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Zip | 75248-2636
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Country | US
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Telephone | 972-439-8469
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | LAKE DALLAS
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State | TX
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Zip | 75065-0425
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Country | US
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Telephone | 972-439-8469
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 81835
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License Number State | TX
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