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General NPI Number Information
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NPI Number | 1205394327
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Entity Type | Individual
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Provider Name | HIBA KHAN LCSW, LCDC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 980 S COIT RD APT 621
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City | PROSPER
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State | TX
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Zip | 75078-2995
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Country | US
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Telephone | 469-748-7087
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Fax |
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Provider Business Mailing Address
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Address Line | 805 RICHMOND DR
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City | MCKINNEY
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State | TX
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Zip | 75071-6059
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Country | US
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Telephone | 469-748-7087
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16366
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 108749
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License Number State | TX
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