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General NPI Number Information
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NPI Number | 1215351010
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Entity Type | Organization
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Legal Business Name | WHITE ROCK PSYCHIATRIC AND PSYCHOTHERAPY SERVICES
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 1350 N BUCKNER BLVD 214
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City | DALLAS
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State | TX
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Zip | 75218-3500
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Country | US
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Telephone | 214-321-2500
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Fax | 469-249-1059
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Provider Business Mailing Address
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Address Line | 7952 BRIAR BROOK CT
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City | DALLAS
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State | TX
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Zip | 75218-4514
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Country | US
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Telephone | 214-728-9080
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Fax | 469-249-1059
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Authorized Official
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Title or Position | OWNER
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Name | ERIKA MARIA NAVARRO
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Credential | MD
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Telephone | 214-728-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L2496
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License Number State | TX
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