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General NPI Number Information
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NPI Number | 1154688992
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Entity Type | Organization
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Legal Business Name | THE DONALDSON WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 508 GRACE ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-3046
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Country | US
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Telephone | 972-923-0730
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Fax | 972-923-3886
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Provider Business Mailing Address
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Address Line | 508 GRACE ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-3046
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Country | US
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Telephone | 972-923-0730
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Fax | 972-923-3886
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | MRS. KATHERINE S DONALDSON
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Credential | PSY.D.
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Telephone | 972-923-0730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 30156
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License Number State | TX
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