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General NPI Number Information
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NPI Number | 1205448131
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Entity Type | Organization
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Legal Business Name | CLYDIES PLACE
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 424 HENDERSON ST
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City | PITTSBURG
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State | TX
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Zip | 75686-1118
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Country | US
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Telephone | 903-855-0845
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Fax | 903-855-0746
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Provider Business Mailing Address
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Address Line | PO BOX 596
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City | PITTSBURG
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State | TX
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Zip | 75686-0596
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Country | US
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Telephone | 903-855-0845
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Fax | 903-855-0746
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VIRGINIA THURMAN
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Credential |
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Telephone | 903-855-0845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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