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General NPI Number Information
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NPI Number | 1437062627
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Entity Type | Organization
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Legal Business Name | THE MAPLES NORTH TEXAS, LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 10805 W CLEBURNE RD
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City | CROWLEY
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State | TX
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Zip | 76036-9429
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Country | US
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Telephone | 225-955-6935
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Fax | 225-308-9497
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Provider Business Mailing Address
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Address Line | PO BOX 306741
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City | NASHVILLE
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State | TN
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Zip | 37230-6741
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Country | US
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Telephone | 225-955-6935
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Fax | 225-308-9497
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Authorized Official
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Title or Position | CEO
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Name | ROBERT JARDELEZA
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Credential |
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Telephone | 847-404-5970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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Taxonomy #2
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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 | NULL
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | NULL
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