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General NPI Number Information
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NPI Number | 1437730694
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Entity Type | Organization
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Legal Business Name | RENEWED PURPOSE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 2508 LITTLE RD STE 200
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City | ARLINGTON
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State | TX
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Zip | 76016-1301
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Country | US
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Telephone | 682-232-4453
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Fax |
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Provider Business Mailing Address
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Address Line | 2508 LITTLE RD STE 200
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City | ARLINGTON
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State | TX
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Zip | 76016-1301
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Country | US
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Telephone | 682-232-4453
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSEOR
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Name | GARY WARD
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Credential |
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Telephone | 682-232-4453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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