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General NPI Number Information
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NPI Number | 1164295127
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Entity Type | Individual
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Provider Name | LINDSAY IVORY LPC-A
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Gender | Female
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 3890 W NORTHWEST HWY STE 640
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City | DALLAS
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State | TX
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Zip | 75220-8108
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Country | US
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Telephone | 214-890-8386
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Fax |
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Provider Business Mailing Address
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Address Line | 6818 MERRILEE LN
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City | DALLAS
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State | TX
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Zip | 75214-3131
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Country | US
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Telephone | 312-285-8991
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 92686
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License Number State | TX
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