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General NPI Number Information
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NPI Number | 1144573239
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Entity Type | Organization
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Legal Business Name | PRESTIGE EVALUATION AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 10/26/2012
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 828 BESSEMER DR
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City | WYLIE
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State | TX
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Zip | 75098-6985
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Country | US
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Telephone | 214-563-7353
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Fax |
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Provider Business Mailing Address
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Address Line | 828 BESSEMER DR
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City | WYLIE
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State | TX
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Zip | 75098-6985
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. DARALYN PLAINS
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Credential | PH.D.
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Telephone | 214-563-7353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 36130
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 33707
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 36130
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License Number State | TX
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