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General NPI Number Information
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NPI Number | 1366775041
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Entity Type | Organization
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Legal Business Name | SHAVERS 'PLUS' COUNSELING SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 09/11/2009
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Provider Practice Location Address
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Address Line | 8035 E R L THORNTON FWY SUITE 522
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City | DALLAS
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State | TX
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Zip | 75228-7018
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Country | US
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Telephone | 214-660-9515
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Fax | 146-932-7263
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Provider Business Mailing Address
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Address Line | 8035 E R L THORNTON FWY SUITE 522
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City | DALLAS
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State | TX
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Zip | 75228-7018
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Country | US
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Telephone | 214-660-9515
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Fax | 146-932-7263
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Authorized Official
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Title or Position | CEO
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Name | DOLORES J SHAVERS
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Credential | LPC
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Telephone | 214-660-9515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 06095
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License Number State | TX
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