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General NPI Number Information
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NPI Number | 1366361792
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Entity Type | Individual
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Provider Name | CHLOE FAITH BJORNBERG M.ED.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 10600 DUNHAM RD
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City | ROANOKE
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State | TX
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Zip | 76262-6534
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Country | US
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Telephone | 682-219-8733
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 PACER WAY
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City | FLOWER MOUND
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State | TX
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Zip | 75028-8769
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Country | US
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Telephone | 972-955-1706
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 102823
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License Number State | TX
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