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General NPI Number Information
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NPI Number | 1285119065
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Entity Type | Organization
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Legal Business Name | CAROL TRIPP SMITH, LPC, PLLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 1701 N COLLINS BLVD STE 126
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City | RICHARDSON
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State | TX
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Zip | 75080-3554
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Country | US
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Telephone | 214-273-1225
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 N COLLINS BLVD STE 126
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City | RICHARDSON
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State | TX
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Zip | 75080-3554
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Country | US
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Telephone | 214-273-1225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROL TRIPP SMITH
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Credential | LPC
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Telephone | 214-273-1225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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