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General NPI Number Information
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NPI Number | 1417313198
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Entity Type | Individual
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Provider Name | DANNY ROSS
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Gender | Male
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 1104 W PIONEER PKWY STE 300
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City | ARLINGTON
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State | TX
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Zip | 76013-7625
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Country | US
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Telephone | 817-989-6322
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 301 210 NORTH ECTOR DR.
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City | EULESS
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State | TX
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Zip | 76039-0301
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Country | US
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Telephone | 817-989-6322
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 71565
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License Number State | TX
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