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General NPI Number Information
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NPI Number | 1205390598
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Entity Type | Organization
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Legal Business Name | LINDY'S LEGACY
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 6371 PRESTON RD STE 120
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City | FRISCO
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State | TX
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Zip | 75034-9297
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Country | US
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Telephone | 940-577-1630
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Fax | 940-205-5009
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Provider Business Mailing Address
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Address Line | PO BOX 617
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City | DECATUR
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State | TX
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Zip | 76234-0617
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Country | US
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Telephone | 940-577-1630
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Fax | 940-205-5009
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ROBIN MEIER
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Credential | PSYD
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Telephone | 940-577-1630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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