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General NPI Number Information
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NPI Number | 1154598803
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Entity Type | Organization
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Legal Business Name | SPECIAL WORKSHOPS & CONSULTING, LLC
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 2806 TARA DR
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City | PHARR
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State | TX
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Zip | 78577-6937
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Country | US
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Telephone | 956-821-3601
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Fax |
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Provider Business Mailing Address
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Address Line | 2806 TARA DR
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City | PHARR
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State | TX
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Zip | 78577-6937
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Country | US
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Telephone | 956-821-3601
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. CHERYL FIELDING
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Credential | PH.D., BCBA
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Telephone | 956-821-3601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1-07-3517
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License Number State | TX
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