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General NPI Number Information
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NPI Number | 1417190745
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Entity Type | Organization
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Legal Business Name | APN BEHAVIORAL HEALTHCARE
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 880 JOHNSON LN
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City | OVILLA
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State | TX
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Zip | 75154-1482
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Country | US
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Telephone | 972-937-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 503 W MAIN ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-3235
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Country | US
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Telephone | 972-937-5252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA J MILLER
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Credential | APN
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Telephone | 972-937-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 501274
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License Number State | TX
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