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NPI 1568630838

NPI 1568630838 : A & R COUNSELING, INC : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1568630838
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    Entity Type          |    Organization 
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    Legal Business Name  |    A & R COUNSELING, INC 
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Dates
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    Enumeration Date     |    02/20/2008
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    Last Update Date     |    02/20/2008
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Provider Practice Location Address
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    Address Line         |    2707 AIRPORT FWY SUITE 213
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76111-2389
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    Country              |    US
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    Telephone            |    817-920-9779
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    Fax                  |    817-920-9553
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Provider Business Mailing Address
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    Address Line         |    2707 AIRPORT FWY SUITE 213
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76111-2389
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    Country              |    US
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    Telephone            |    817-920-9779
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    Fax                  |    817-920-9553
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. RON DEWAYNE RANDALL 
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    Credential           |    LPC
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    Telephone            |    817-920-9779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    5254
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    License Number State |    TX
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