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General NPI Number Information
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NPI Number | 1063013928
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Entity Type | Organization
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Legal Business Name | DANA LEWIN COUNSELING, PLLC
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 420 N CARROLL AVE STE 140
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6454
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Country | US
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Telephone | 817-797-7968
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 COBBLESTONE DR
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City | GRAPEVINE
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State | TX
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Zip | 76051-2683
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANA MORAN LEWIN
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Credential | LMFT
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Telephone | 817-797-7968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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