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General NPI Number Information
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NPI Number | 1033533831
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Entity Type | Organization
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Legal Business Name | ADULT CHILD AND FAMILY COUNSELING CENTER
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 14138 HWY 195
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City | KILLEEN
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State | TX
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Zip | 76542-4850
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Country | US
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Telephone | 254-519-1144
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Fax | 254-519-1155
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Provider Business Mailing Address
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Address Line | 14138 HWY 195
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City | KILLEEN
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State | TX
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Zip | 76542-4850
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Country | US
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Telephone | 254-519-1144
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Fax | 254-519-1155
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Authorized Official
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Title or Position | BILLING/CARE DETAILING
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Name | AMY-JO NEUJAHR
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Credential |
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Telephone | 254-690-2707
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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 | 69513
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License Number State | TX
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