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General NPI Number Information
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NPI Number | 1326350513
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Entity Type | Organization
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Legal Business Name | EATING RECOVERY CENTER OF TEXAS
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Dates
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Enumeration Date | 07/05/2010
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 511 OAKWOOD BLVD STE 100
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City | ROUND ROCK
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State | TX
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Zip | 78681-4068
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Country | US
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Telephone | 877-825-8584
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Fax |
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Provider Business Mailing Address
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Address Line | 7351 E. LOWRY BLVD
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City | DENVER
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State | CO
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Zip | 80230
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Country | US
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Telephone | 877-825-8584
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Fax | 512-480-0895
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Authorized Official
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Title or Position | MANAGER, CREDENTIALING
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Name | JESS JOSLIN
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Credential |
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Telephone | 303-731-8164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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