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General NPI Number Information
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NPI Number | 1083072862
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Entity Type | Organization
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Legal Business Name | BASEPOINT ACADEMY LLC
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 713 W BROAD ST
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City | FORNEY
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State | TX
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Zip | 75126-9147
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Country | US
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Telephone | 972-325-2633
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Fax |
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Provider Business Mailing Address
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Address Line | 711 W BROAD ST
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City | FORNEY
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State | TX
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Zip | 75126-9130
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Country | US
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Telephone | 972-325-2584
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Fax | 972-552-5499
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | MRS. NANCY LOPEZ-DELGADO
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Credential |
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Telephone | 972-325-2633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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