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General NPI Number Information
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NPI Number | 1487564449
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Entity Type | Individual
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Provider Name | JUSTICE POWELL
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 5504 DEMOCRACY DR
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City | PLANO
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State | TX
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Zip | 75024-3596
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Country | US
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Telephone | 972-656-1270
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Fax |
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Provider Business Mailing Address
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Address Line | 9600 FOREST LN APT 1163
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City | DALLAS
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State | TX
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Zip | 75243-5859
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Country | US
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Telephone | 972-213-5889
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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 | RBT-26-523246
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License Number State | TX
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