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General NPI Number Information
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NPI Number | 1396303285
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Entity Type | Organization
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Legal Business Name | HARDIN-SIMMONS UNIVERSITY
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 917 LINEBERRY BLVD
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City | ABILENE
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State | TX
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Zip | 79601
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Country | US
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Telephone | 325-670-1836
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 HICKORY ST BOX 16005
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City | ABILENE
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State | TX
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Zip | 79698-0001
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Country | US
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Telephone | 325-670-1836
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT FOR FINANCE
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Name | DR. JODIE MCGAUGHEY
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Credential |
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Telephone | 325-670-1508
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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