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General NPI Number Information
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NPI Number | 1215553680
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Entity Type | Organization
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Legal Business Name | 2020 COUNSELING LLC
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 12959 JUPITER RD STE 140
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City | DALLAS
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State | TX
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Zip | 75238-3200
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Country | US
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Telephone | 817-903-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 4106 KELLY GLENN LN
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City | ARLINGTON
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State | TX
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Zip | 76017-4140
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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 | MANAGER
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Name | KATY KONG
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Credential |
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Telephone | 817-903-0200
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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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