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General NPI Number Information
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NPI Number | 1134737224
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Entity Type | Organization
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Legal Business Name | 1 STOP EMPOWERMENT, INC
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 3727 DILIDO RD STE 140
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City | DALLAS
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State | TX
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Zip | 75228-5531
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Country | US
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Telephone | 469-212-8934
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Fax | 469-212-8935
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Provider Business Mailing Address
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Address Line | 3727 DILIDO RD STE 138
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City | DALLAS
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State | TX
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Zip | 75228-8665
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Country | US
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Telephone | 214-275-8898
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. COMFORT S EKPENYONG
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Credential | LMSW
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Telephone | 214-869-8824
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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 |
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License Number State |
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