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NPI 1154534196

NPI 1154534196 : MICHELLE LEWIS MACALPINE PH.D. : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1154534196
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE LEWIS MACALPINE PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/07/2007
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    Last Update Date     |    01/28/2010
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Provider Practice Location Address
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    Address Line         |    2301 OHIO DR STE 130 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-3997
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    Country              |    US
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    Telephone            |    972-964-8510
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    Fax                  |    972-612-6140
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Provider Business Mailing Address
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    Address Line         |    2305 CHOCTAW DRIVE 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093
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    Country              |    US
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    Telephone            |    972-964-8510
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    Fax                  |    972-612-6140
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    
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    License Number State |    
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