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General NPI Number Information
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NPI Number | 1275986481
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Entity Type | Organization
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Legal Business Name | RESOURCE CENTER OF DALLAS, INC
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 5750 CEDAR SPRINGS RD
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City | DALLAS
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State | TX
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Zip | 75235-6802
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Country | US
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Telephone | 214-521-5124
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Fax |
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Provider Business Mailing Address
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Address Line | 5750 CEDAR SPRINGS RD
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City | DALLAS
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State | TX
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Zip | 75235-6802
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Country | US
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Telephone | 214-521-5124
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR BEHAVIORAL HEALTH
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Name | MR. SCOTT TRAVIS MARTIN
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Credential | LPC
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Telephone | 214-521-5124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3919-3920
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License Number State | TX
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