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General NPI Number Information
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NPI Number | 1073845228
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Entity Type | Individual
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Provider Name | ANNA THOMISON MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 10/05/2019
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Provider Practice Location Address
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Address Line | 600 E JOHN CARPENTER FWY STE 296
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City | IRVING
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State | TX
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Zip | 75062-4549
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Country | US
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Telephone | 972-483-2345
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 142453
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City | IRVING
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State | TX
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Zip | 75014-2453
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Country | US
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Telephone | 972-483-2345
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 201222
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License Number State | TX
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