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General NPI Number Information
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NPI Number | 1437904570
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Entity Type | Organization
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Legal Business Name | SOMATIC REGULATION & PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 1 CHISHOLM TRAIL RD STE 450
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City | ROUND ROCK
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State | TX
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Zip | 78681-5008
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Country | US
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Telephone | 318-451-2137
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Fax |
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Provider Business Mailing Address
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Address Line | 725 WHISPERING OAKS DR
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City | SALADO
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State | TX
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Zip | 76571-4930
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. CHRISTINA SANNER
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Credential | PHD
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Telephone | 318-451-2137
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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 |
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