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General NPI Number Information
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NPI Number | 1508623737
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Entity Type | Organization
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Legal Business Name | BIGGER FISH TO FRY COUNSELING COACHING AND CONUSLTING
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 4500 SOJOURN DR
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City | ADDISON
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State | TX
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Zip | 75001-5086
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Country | US
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Telephone | 469-777-9121
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1936
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City | ADDISON
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State | TX
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Zip | 75001-1936
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Country | US
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Telephone | 469-777-9121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELEANOR M WARD
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Credential | LPC-A
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Telephone | 469-777-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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