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General NPI Number Information
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NPI Number | 1275298788
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Entity Type | Individual
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Provider Name | DIANA KAYE DUNGY LCDC-I,DOEP,BA,CCJPA
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Gender | Female
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 1250 TEXAS PKWY STE A1
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City | STAFFORD
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State | TX
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Zip | 77477-6467
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Country | US
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Telephone | 832-891-8963
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Fax |
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Provider Business Mailing Address
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Address Line | 700 COBIA DR APT 1624
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City | KATY
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State | TX
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Zip | 77494-1694
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Country | US
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Telephone | 832-891-8963
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 48836
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 105673
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 48836
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License Number State | TX
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