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General NPI Number Information
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NPI Number | 1104781202
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Entity Type | Individual
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Provider Name | ELIZABETH AWAD LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 3615 W PIONEER PKWY STE D
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City | PANTEGO
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State | TX
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Zip | 76013-4518
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Country | US
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Telephone | 682-587-7747
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Fax | 682-204-5759
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Provider Business Mailing Address
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Address Line | 8116 LORETTA DAY DR
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City | ARLINGTON
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State | TX
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Zip | 76002-4344
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Country | US
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Telephone | 682-587-7747
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Fax | 682-204-5759
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 67509
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 67509
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License Number State | TX
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