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General NPI Number Information
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NPI Number | 1427521426
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Entity Type | Organization
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Legal Business Name | ZIKS HEALTH SERVICES
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 9330 LBJ FWY STE 948
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City | DALLAS
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State | TX
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Zip | 75243-3436
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Country | US
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Telephone | 972-972-4850
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Fax | 956-267-1142
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Provider Business Mailing Address
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Address Line | 9330 LBJ FWY STE 948
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City | DALLAS
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State | TX
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Zip | 75243-3436
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Country | US
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Telephone | 817-524-7107
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Fax | 956-267-1142
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONIER
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Name | NJIDEKA DOMRUFUS
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Credential | PMHNP
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Telephone | 817-524-7107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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