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General NPI Number Information
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NPI Number | 1356436034
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Entity Type | Organization
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Legal Business Name | JOAN W. CONKEY DBA FAMILY CONNECTION
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 4301 ROBINDALE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-7402
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Country | US
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Telephone | 956-831-7831
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Fax | 956-831-7831
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Provider Business Mailing Address
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Address Line | 4301 ROBINDALE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-7402
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Country | US
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Telephone | 956-831-7831
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Fax | 956-831-7831
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MRS. JOAN W CONKEY
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Credential | MED., L.C.D.C., AAC
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Telephone | 956-831-2945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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