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General NPI Number Information
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NPI Number | 1215235130
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Entity Type | Organization
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Legal Business Name | ACW SOLUTIONS
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 104 CEDAR AVE
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City | MIDLAND
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State | TX
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Zip | 79705-6738
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Country | US
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Telephone | 214-536-8575
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 ANDREWS HWY 103
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City | MIDLAND
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State | TX
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Zip | 79701-3872
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Country | US
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Telephone | 214-536-8575
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA ANN HOMER
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Credential | MA, LPC, LCDC
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Telephone | 214-536-8575
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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 | 65860
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License Number State | TX
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