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General NPI Number Information
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NPI Number | 1366806523
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Entity Type | Organization
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Legal Business Name | UNIQUE PATHWAYS
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 1111 S MAIN ST SUITE 210
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City | GRAPEVINE
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State | TX
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Zip | 76051-5577
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Country | US
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Telephone | 214-702-9293
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 S MAIN ST SUITE 210
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City | GRAPEVINE
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State | TX
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Zip | 76051-5577
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Country | US
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Telephone | 214-702-9293
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JENNIFER HELTEN
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Credential |
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Telephone | 214-563-5909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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