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NPI 1073147906

NPI 1073147906 : DISCOVERING HOPE : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1073147906
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    Entity Type          |    Organization 
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    Legal Business Name  |    DISCOVERING HOPE 
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Dates
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    Enumeration Date     |    02/29/2020
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    Last Update Date     |    03/08/2020
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Provider Practice Location Address
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    Address Line         |    8500 N STEMMONS FWY STE 3052 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75247-3969
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    Country              |    US
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    Telephone            |    469-863-6970
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8650 SOUTHWESTERN BLVD APT 3814 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75206-8215
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    Country              |    US
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    Telephone            |    214-683-5535
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LCSW
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    Name                 |     SHALONDA  THOMAS 
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    Credential           |    
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    Telephone            |    469-863-6970
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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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