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General NPI Number Information
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NPI Number | 1104134667
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Entity Type | Individual
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Provider Name | BETSY ANN PAUL LPC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2010
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Last Update Date | 09/18/2010
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Provider Practice Location Address
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Address Line | 920 ROBERTS CUT OFF RD SUITE A
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City | RIVER OAKS
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State | TX
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Zip | 76114-2826
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Country | US
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Telephone | 817-624-1222
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Fax | 817-624-1213
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Provider Business Mailing Address
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Address Line | 9832 CRAWFORD FARMS DR
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City | FORT WORTH
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State | TX
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Zip | 76244-6600
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Country | US
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Telephone | 214-316-9923
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 63121
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 63121
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License Number State | TX
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