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General NPI Number Information
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NPI Number | 1366071771
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Entity Type | Organization
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Legal Business Name | ANCHOR PSYCHOLOGY GROUP
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 1402 S CUSTER RD STE 803
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City | MCKINNEY
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State | TX
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Zip | 75072-1453
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Country | US
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Telephone | 469-406-6899
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Fax |
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Provider Business Mailing Address
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Address Line | 7116 WIND ROW DR
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City | MCKINNEY
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State | TX
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Zip | 75070-8625
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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 | CO-FOUNDER
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Name | DR. SANDRA DAVIS
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Credential | PSYD
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Telephone | 469-323-7909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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