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General NPI Number Information
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NPI Number | 1215680657
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Entity Type | Organization
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Legal Business Name | THE AMOXIE EDUCATIONAL CONSULTING GROUP LLC
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 705 ACADIA ST
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City | MANSFIELD
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State | TX
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Zip | 76063-4104
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Country | US
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Telephone | 817-706-4652
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Fax |
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Provider Business Mailing Address
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Address Line | 900 N WALNUT CREEK DR STE 100-PMB 394
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 817-706-4652
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Fax |
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Authorized Official
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Title or Position | CHIEF EDUCATION OFFICER
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Name | DR. AKWETA E HICKMAN
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Credential |
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Telephone | 817-706-4652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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