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General NPI Number Information
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NPI Number | 1558985572
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Entity Type | Individual
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Provider Name | MISS THERESA TRAN
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Gender | Female
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 2601 LITTLE ELM PKWY STE 1704
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City | LITTLE ELM
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State | TX
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Zip | 75068-2503
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Country | US
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Telephone | 817-501-6080
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Fax |
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Provider Business Mailing Address
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Address Line | 511 S CENTER ST UNIT A
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City | ARLINGTON
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State | TX
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Zip | 76010-1712
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Country | US
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Telephone | 817-501-6080
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 90042
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License Number State | TX
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