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General NPI Number Information
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NPI Number | 1568241230
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL TEXAS COUNCIL OF GOVERNMENTS
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 616 SIX FLAGS DR
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City | ARLINGTON
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State | TX
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Zip | 76011-6347
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Country | US
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Telephone | 817-640-3300
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Fax | 817-695-9274
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Provider Business Mailing Address
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Address Line | PO BOX 5888
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City | ARLINGTON
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State | TX
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Zip | 76005-5888
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Country | US
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Telephone | 817-640-3300
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Fax | 817-695-9274
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RAE MICHAEL EASTLAND
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Credential |
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Telephone | 817-695-9101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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