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NPI 1467126342

NPI 1467126342 : SHAWNDA KULIG : MCKINNEY, TX

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General NPI Number Information
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    NPI Number           |    1467126342
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    Entity Type          |    Individual 
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    Provider Name        |    SHAWNDA KULIG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2021
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    4408 SHARPS DR 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75072-3698
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    Country              |    US
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    Telephone            |    580-579-6715
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1501 S LOOP 288 SUITE 104 PMP 288 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76205
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    Country              |    US
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    Telephone            |    580-579-6715
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    BACB69682
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    87707
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    License Number State |    TX
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