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General NPI Number Information
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NPI Number | 1346705449
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Entity Type | Organization
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Legal Business Name | COPENHAGEN COUNSELING, PLLC
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 10300 N CENTRAL EXPY STE 280
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City | DALLAS
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State | TX
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Zip | 75231-8666
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Country | US
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Telephone | 972-450-9465
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Fax |
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Provider Business Mailing Address
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Address Line | 4925 GREENVILLE AVE STE 200
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City | DALLAS
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State | TX
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Zip | 75206-0500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, COUNSELOR
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Name | TAMECA MINTER
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Credential | LPC
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Telephone | 972-450-9465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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