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General NPI Number Information
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NPI Number | 1225112303
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Entity Type | Individual
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Provider Name | ILA E DENNIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 7600 LAKEVIEW PARKWAY SUITE 100
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City | ROWLETT
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State | TX
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Zip | 75088
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Country | US
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Telephone | 214-607-4000
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Fax | 214-607-4044
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Provider Business Mailing Address
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Address Line | 2115 HIGHLAND DRIVE
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City | WYLIE
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State | TX
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Zip | 75098
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Country | US
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Telephone | 972-941-6797
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Fax | 972-763-0898
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 501351
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License Number State | TX
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