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General NPI Number Information
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NPI Number | 1548021793
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Entity Type | Organization
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Legal Business Name | EXPRESSIVE THOUGHTS PLLC
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 433 KITTY HAWK RD STE 211
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-3829
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Country | US
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Telephone | 210-371-9708
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Fax | 210-267-5058
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Provider Business Mailing Address
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Address Line | PO BOX 1303
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City | CONVERSE
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State | TX
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Zip | 78109-4303
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Country | US
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Telephone | 210-371-9708
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Fax | 210-267-5058
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Authorized Official
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Title or Position | OWNER
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Name | LAWANDA L ALFORD
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Credential |
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Telephone | 210-371-9708
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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 |
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License Number State |
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