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General NPI Number Information
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NPI Number | 1346786233
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Entity Type | Individual
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Provider Name | SUNDAY DIEKE LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 10000 CALCITE DR
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City | FORT WORTH
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State | TX
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Zip | 76131-3398
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Country | US
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Telephone | 817-372-3697
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 CENTRAL DR STE 305
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City | BEDFORD
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State | TX
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Zip | 76021-5869
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Country | US
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Telephone | 682-298-6448
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Fax |
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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 | 202060
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License Number State | TX
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