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General NPI Number Information
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NPI Number | 1528833019
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Entity Type | Organization
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Legal Business Name | ARIAD PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 425 PINSON RD STE M
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City | FORNEY
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State | TX
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Zip | 75126-9774
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Country | US
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Telephone | 469-733-9976
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Fax |
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Provider Business Mailing Address
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Address Line | 4131 N CENTRAL EXPY STE 900
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City | DALLAS
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State | TX
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Zip | 75204-2120
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Country | US
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Telephone | 469-733-9976
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ISOKEN PRISCA ADODO
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Credential | LP
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Telephone | 469-733-9976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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