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General NPI Number Information
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NPI Number | 1538528476
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Entity Type | Individual
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Provider Name | JOYCE MCKINLEY
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Gender | Female
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Dates
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Enumeration Date | 02/21/2016
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Last Update Date | 02/21/2016
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Provider Practice Location Address
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Address Line | 5040 HARRIER DR
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City | MESQUITE
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State | TX
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Zip | 75181-4950
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Country | US
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Telephone | 972-948-3811
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 HARRIER DR
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City | MESQUITE
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State | TX
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Zip | 75181-4950
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 202448
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License Number State | TX
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