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General NPI Number Information
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NPI Number | 1285107722
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Entity Type | Individual
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Provider Name | MARK ALAN DANE MMFT, LPC-S, LCDC
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Gender | Male
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 6600 LBJ FWY STE 240
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City | DALLAS
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State | TX
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Zip | 75240-6550
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Country | US
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Telephone | 714-932-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 8221 RANCH BLVD STE 25
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City | LITTLE ROCK
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State | AR
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Zip | 72223-4616
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Country | US
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Telephone | 714-932-7272
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Fax | 866-803-2188
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14677
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License Number State | TX
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