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NPI 1518358472

NPI 1518358472 : DFW ASSESSMENT, PLLC : LEWISVILLE, TX

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General NPI Number Information
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    NPI Number           |    1518358472
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    Entity Type          |    Organization 
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    Legal Business Name  |    DFW ASSESSMENT, PLLC 
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Dates
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    Enumeration Date     |    02/13/2015
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    Last Update Date     |    02/13/2015
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Provider Practice Location Address
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    Address Line         |    2012 DEVIN LN 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75067-8965
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    Country              |    US
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    Telephone            |    724-992-0599
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2012 DEVIN LN 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75067-8965
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    Country              |    US
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    Telephone            |    724-992-0599
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. LAURA R SANDERS 
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    Credential           |    PHD, LP, LSSP
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    Telephone            |    724-992-0599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    36682
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    License Number State |    TX
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