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General NPI Number Information
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NPI Number | 1275974743
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Entity Type | Organization
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Legal Business Name | HALL COUNSELING & ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 2214 BOLL ST
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City | DALLAS
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State | TX
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Zip | 75204-2694
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Country | US
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Telephone | 214-662-3523
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 192506
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City | DALLAS
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State | TX
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Zip | 75219-8521
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Country | US
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Telephone | 214-662-3523
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DOUGLAS KEITH HALL
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Credential | LCSW
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Telephone | 214-662-3523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 30749
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License Number State | TX
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