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General NPI Number Information
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NPI Number | 1134385305
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Entity Type | Organization
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Legal Business Name | NEXT STEP ADDICTION SERVICES
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 5785 GREENSPOINT DR #915
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City | FORT WORTH
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State | TX
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Zip | 76112-2435
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Country | US
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Telephone | 469-328-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 5785 GREENSPOINT DR #915
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City | FORT WORTH
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State | TX
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Zip | 76112-2435
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Country | US
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Telephone | 469-328-8810
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | LISA J HENRY
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Credential | LMSW
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Telephone | 469-328-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 26057
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License Number State | TX
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