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General NPI Number Information
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NPI Number | 1275683971
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Entity Type | Individual
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Provider Name | WILLIAM ERIC REYNOLDS LPC
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4600 SAMUELL BLVD
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City | DALLAS
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State | TX
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Zip | 75228-6827
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Country | US
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Telephone | 214-388-6335
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Fax |
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Provider Business Mailing Address
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Address Line | 8719 COUNTY ROAD 146
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City | KAUFMAN
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State | TX
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Zip | 75142-7711
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Country | US
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Telephone | 972-962-6787
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 13407
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License Number State | TX
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