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General NPI Number Information
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NPI Number | 1093190811
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Entity Type | Organization
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Legal Business Name | REVISION COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 513 COPPER RIDGE DR
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City | RICHARDSON
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State | TX
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Zip | 75080-2309
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Country | US
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Telephone | 972-897-1070
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Fax |
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Provider Business Mailing Address
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Address Line | 15150 PRESTON RD STE 300
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City | DALLAS
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State | TX
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Zip | 75248-4871
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Country | US
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Telephone | 972-897-0957
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARTHA G SATZ
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Credential | LPC
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Telephone | 972-897-0957
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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 | 68452
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License Number State | TX
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