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General NPI Number Information
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NPI Number | 1437665569
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Entity Type | Individual
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Provider Name | JAMIE SUE KLUGIEWICZ PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 9101 N CENTRAL EXPY STE 230
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City | DALLAS
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State | TX
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Zip | 75231-6079
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Country | US
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Telephone | 214-818-5765
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 NEWPORT DR
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City | ALLEN
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State | TX
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Zip | 75013-2807
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Country | US
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Telephone | 903-316-8572
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 40140
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License Number State | TX
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