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General NPI Number Information
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NPI Number | 1346703881
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Entity Type | Organization
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Legal Business Name | CTCS THERAPY
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 9555 LEBANON RD
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City | FRISCO
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State | TX
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Zip | 75035-6095
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Country | US
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Telephone | 833-282-7378
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Fax | 833-329-4968
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Provider Business Mailing Address
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Address Line | PO BOX 2211
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City | FRISCO
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State | TX
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Zip | 75034-0040
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Country | US
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Telephone | 833-282-7378
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Fax | 833-329-4968
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. INDIRA FEWELL
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Credential |
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Telephone | 214-471-3133
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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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