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General NPI Number Information
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NPI Number | 1063205839
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Entity Type | Individual
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Provider Name | SHIMYA ANYA SMITH LPC-A
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Gender | Female
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 6371 PRESTON RD
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City | FRISCO
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State | TX
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Zip | 75034-7979
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Country | US
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Telephone | 215-556-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 ARABELLA LN
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City | AUBREY
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State | TX
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Zip | 76227-2949
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Country | US
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Telephone | 347-489-1801
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 98517
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License Number State | TX
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