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General NPI Number Information
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NPI Number | 1457870057
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Entity Type | Organization
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Legal Business Name | FIRST RESPONSE PSYCHIATRY PLLC
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5620 SW GREEN OAKS BLVD STE D
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City | ARLINGTON
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State | TX
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Zip | 76017-1151
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Country | US
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Telephone | 817-513-1415
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Fax | 817-394-5512
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Provider Business Mailing Address
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Address Line | 5620 SW GREEN OAKS BLVD STE D
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City | ARLINGTON
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State | TX
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Zip | 76017-1151
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Country | US
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Telephone | 817-513-1415
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Fax | 817-394-5512
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. CYNTHIA KIDD
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Credential | PMHNP
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Telephone | 817-513-1415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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