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NPI 1548477581

NPI 1548477581 : TONY ALLEN MACLIN LPC : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1548477581
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    Entity Type          |    Individual 
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    Provider Name        |    TONY ALLEN MACLIN LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    901 W ROSEDALE ST STE 250 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76104-4673
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    Country              |    US
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    Telephone            |    817-349-8787
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    Fax                  |    817-231-0650
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Provider Business Mailing Address
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    Address Line         |    5725 OVERRIDGE DR 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76017-1139
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    Country              |    US
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    Telephone            |    817-349-8787
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    Fax                  |    817-231-0650
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    60834
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    License Number State |    TX
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