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General NPI Number Information
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NPI Number | 1508522327
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Entity Type | Individual
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Provider Name | JODI LYNN MUSE
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 1402 S CUSTER RD STE 601
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City | MCKINNEY
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State | TX
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Zip | 75072-1453
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Country | US
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Telephone | 972-839-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 113 CREEKVIEW LN
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City | CRANDALL
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State | TX
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Zip | 75114-5105
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Country | US
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Telephone | 972-839-0207
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-55495
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License Number State | TX
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