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General NPI Number Information
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NPI Number | 1184971392
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Entity Type | Organization
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Legal Business Name | THE REFUGE COUNSELING RESOURCES
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 1716 GRIFFIN LN
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City | MANSFIELD
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State | TX
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Zip | 76063-8560
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Country | US
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Telephone | 817-965-5886
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Fax | 866-929-1927
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Provider Business Mailing Address
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Address Line | 1716 GRIFFIN LN
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City | MANSFIELD
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State | TX
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Zip | 76063-8560
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Country | US
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Telephone | 817-965-5886
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Fax | 866-929-1927
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KIMBERLY TRASK
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Credential | MS, CSC, NCC, LPC
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Telephone | 817-965-5886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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