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General NPI Number Information
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NPI Number | 1295928190
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Entity Type | Organization
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Legal Business Name | THE ZIGGURAT GROUP, PA
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 17430 CAMPBELL RD STE 112
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City | DALLAS
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State | TX
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Zip | 75252-5297
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Country | US
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Telephone | 214-227-7741
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Fax | 214-432-0494
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Provider Business Mailing Address
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Address Line | 17430 CAMPBELL RD STE 112
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City | DALLAS
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State | TX
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Zip | 75252-5297
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Country | US
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Telephone | 214-227-7741
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Fax | 214-432-0494
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. BARRY GLENN GROSSMAN
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Credential | PH.D.
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Telephone | 214-227-7741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 32169
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 25039
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 30822
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 109716
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 106089
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 100328
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 17458
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | 0536
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License Number State | TX
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Taxonomy #11
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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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