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General NPI Number Information
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NPI Number | 1407926082
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Entity Type | Organization
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Legal Business Name | KAYE E. ESTELL, L.P.C., P.A.
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 W WALL ST SUITE 200
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City | GRAPEVINE
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State | TX
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Zip | 76051-5276
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Country | US
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Telephone | 817-481-5657
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Fax | 817-431-6002
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Provider Business Mailing Address
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Address Line | 700 W WALL ST SUITE 200
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City | GRAPEVINE
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State | TX
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Zip | 76051-5276
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Country | US
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Telephone | 817-481-5657
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Fax | 817-431-6002
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | KAYE E. ESTELL
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Credential | L.P.C., P.A.
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Telephone | 817-481-5657
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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 | 13517
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License Number State | TX
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