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General NPI Number Information
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NPI Number | 1184499907
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Entity Type | Organization
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Legal Business Name | KENDHAL HART, PLLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 501 OAK BROOK DR.
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City | ALLEN
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State | TX
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Zip | 75002
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Country | US
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Telephone | 903-245-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 B ST PMB 5006
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City | SAN DIEGO
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State | CA
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Zip | 92102-2208
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Country | US
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Telephone | 903-245-4492
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENDHAL HART
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Credential | LPC-S
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Telephone | 903-245-4492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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