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General NPI Number Information
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NPI Number | 1477829026
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Entity Type | Organization
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Legal Business Name | FAMILY & PASTORAL COUNSELING CENTER PLLC
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 2629 PLAZA PKWY SUITE A-3
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City | WICHITA FALLS
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State | TX
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Zip | 76308-3885
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Country | US
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Telephone | 940-386-9378
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Fax | 940-386-9379
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Provider Business Mailing Address
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Address Line | 2629 PLAZA PKWY SUITE A-3
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City | WICHITA FALLS
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State | TX
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Zip | 76308-3885
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Country | US
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Telephone | 940-386-9378
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Fax | 940-386-9379
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Authorized Official
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Title or Position | LMFT/OWNER
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Name | MR. WALTER WAYNE SWINHOE
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Credential | LMFT
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Telephone | 940-386-9378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2381
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License Number State | TX
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