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General NPI Number Information
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NPI Number | 1063194678
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Entity Type | Individual
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Provider Name | HILDA HAZEL MCCLURE
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Gender | Female
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 15851 DALLAS PKWY STE 600
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City | ADDISON
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State | TX
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Zip | 75001-6030
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Country | US
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Telephone | 214-267-9556
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Fax |
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Provider Business Mailing Address
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Address Line | 5204 SHERMAN DR
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City | THE COLONY
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State | TX
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Zip | 75056-1226
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Country | US
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Telephone | 787-662-8025
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 84057
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License Number State | TX
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