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General NPI Number Information
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NPI Number | 1306234422
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Entity Type | Individual
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Provider Name | MRS. CAROLINE MONICA ROBERTS-DALEY
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Gender | Female
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 1304 QUAPAW TRL
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City | MESQUITE
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State | TX
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Zip | 75149-6691
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Country | US
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Telephone | 972-768-6747
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Fax | 214-653-6379
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Provider Business Mailing Address
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Address Line | 1304 QUAPAW TRL
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City | MESQUITE
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State | TX
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Zip | 75149-6691
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Country | US
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Telephone | 972-768-6747
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Fax | 214-653-6379
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3552
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17275
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License Number State | TX
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