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General NPI Number Information
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NPI Number | 1063879161
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Entity Type | Organization
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Legal Business Name | THE GIFT ENTERPRISES
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 7525 JOHN T WHITE RD
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City | FORT WORTH
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State | TX
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Zip | 76120-3311
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Country | US
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Telephone | 817-338-9553
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1953
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City | ARLINGTON
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State | TX
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Zip | 76004-1953
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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 | DR. DENNIS R MILLER
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Credential | PH.D.
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Telephone | 817-338-9553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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