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General NPI Number Information
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NPI Number | 1073061305
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Entity Type | Organization
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Legal Business Name | VISION PURPOSE & GOALS
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 8992 PRESTON RD 110222
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City | FRISCO
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State | TX
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Zip | 75034-3965
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Country | US
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Telephone | 469-702-0668
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Fax | 469-547-0668
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Provider Business Mailing Address
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Address Line | 8992 PRESTON RD 110222
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City | FRISCO
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State | TX
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Zip | 75034-3965
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Country | US
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Telephone | 469-702-0668
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Fax | 469-547-0668
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Authorized Official
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Title or Position | CO OWNER
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Name | MRS. MICHELLE JONES
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Credential | LMSW
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Telephone | 469-877-1662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 34152
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 32134
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License Number State | TX
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