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General NPI Number Information
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NPI Number | 1174418115
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Entity Type | Organization
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Legal Business Name | LIVING BY DESIGN COLLECTIVE LLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 3202 NORMANDY BROOK RD
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City | DALLAS
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State | TX
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Zip | 75212-5008
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Country | US
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Telephone | 844-762-7339
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Fax |
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Provider Business Mailing Address
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Address Line | 3202 NORMANDY BROOK RD
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City | DALLAS
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State | TX
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Zip | 75212-5008
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Country | US
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Telephone | 844-762-7339
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY LESLIE CORBIN
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Credential |
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Telephone | 312-401-4710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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