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General NPI Number Information
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NPI Number | 1053311654
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Entity Type | Individual
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Provider Name | PATRICIA NADJA MAHON
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 03/08/2026
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Provider Practice Location Address
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Address Line | 315 N TRAVIS ST SUITE B-1
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City | SHERMAN
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State | TX
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Zip | 75090-0028
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Country | US
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Telephone | 903-361-5066
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Fax |
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Provider Business Mailing Address
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Address Line | 225 SHADOW VALLEY RD
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City | WHITESBORO
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State | TX
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Zip | 76273-7136
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Country | US
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Telephone | 903-564-3985
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2 1254
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 431493
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License Number State | TX
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