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General NPI Number Information
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NPI Number | 1407399983
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Entity Type | Organization
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Legal Business Name | DALLAS NEUROPSYCHOLOGY PLLC
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 777 JUSTIN RD
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City | ROCKWALL
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State | TX
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Zip | 75087-4840
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Country | US
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Telephone | 214-620-5580
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Fax | 469-264-5037
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Provider Business Mailing Address
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Address Line | 777 JUSTIN RD
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City | ROCKWALL
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State | TX
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Zip | 75087-4840
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Country | US
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Telephone | 214-620-5580
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Fax | 469-264-5037
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | BRANDI BUCHANAN
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Credential | PH.D.
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Telephone | 214-620-5580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 37022
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License Number State | TX
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