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General NPI Number Information
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NPI Number | 1013100114
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Entity Type | Organization
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Legal Business Name | WELLSPRING PSYCHOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 207 S OLD BETSY
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City | KEENE
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State | TX
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Zip | 76059-2426
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Country | US
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Telephone | 832-448-2800
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Fax | 832-448-2801
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Provider Business Mailing Address
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Address Line | 250 NW TARRANT AVE SUITE D
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City | BURLESON
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State | TX
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Zip | 76028-3866
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Country | US
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Telephone | 832-448-2800
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Fax | 832-448-2801
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK FEE
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Credential | PHD
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Telephone | 832-448-2800
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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