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General NPI Number Information
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NPI Number | 1205681608
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Entity Type | Organization
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Legal Business Name | EPIC HEALING LLC
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 1610 N INTERSTATE 35 APT 1211
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City | SAN MARCOS
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State | TX
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Zip | 78666-6579
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Country | US
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Telephone | 832-963-9015
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Fax |
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Provider Business Mailing Address
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Address Line | 1610 N INTERSTATE 35 APT 1211
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City | SAN MARCOS
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State | TX
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Zip | 78666-6579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MASON STROHMEYER
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Credential |
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Telephone | 832-963-9015
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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