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General NPI Number Information
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NPI Number | 1437263738
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Entity Type | Organization
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Legal Business Name | HEALTH AND HUMAN SERVICES COMMISSION
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/25/2017
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Provider Practice Location Address
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Address Line | 6515 KEMP BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76308-5419
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Country | US
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Telephone | 940-689-1220
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Fax | 940-689-5784
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Provider Business Mailing Address
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Address Line | 4110 GUADALUPE ST
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City | AUSTIN
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State | TX
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Zip | 78751-4223
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Country | US
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Telephone | 512-206-5011
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Fax | 512-206-5302
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Authorized Official
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Title or Position | ACCOUNTANT III
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Name | MRS. JANA JOHNSON
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Credential |
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Telephone | 512-206-5284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | TX
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