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General NPI Number Information
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NPI Number | 1508654898
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Entity Type | Organization
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Legal Business Name | MAC HEALTH ASSOCIATION
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 5050 QUORUM DR STE 700
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City | DALLAS
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State | TX
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Zip | 75254-1410
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Country | US
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Telephone | 945-367-1054
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Fax | 945-523-0453
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 17729
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 945-367-1054
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Fax | 945-523-0453
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Authorized Official
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Title or Position | NON-CLINICAL STAFF
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Name | DAVID ADAV COHEN
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Credential |
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Telephone | 909-224-3786
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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 |
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License Number State |
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