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General NPI Number Information
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NPI Number | 1568635779
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Entity Type | Organization
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Legal Business Name | MISTY SOLT CHILD AND FAMILY COUNSELING CLINIC OF COLLIN COUNTY PLLC
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 2591 DALLAS PKWY SUITE #300
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City | FRISCO
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State | TX
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Zip | 75034-8542
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Country | US
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Telephone | 972-814-9406
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Fax |
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Provider Business Mailing Address
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Address Line | 10336 QUEST DR
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City | FRISCO
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State | TX
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Zip | 75035-6715
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Country | US
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Telephone | 972-814-9406
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Fax | 972-731-9870
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MISTY DAWN SOLT
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Credential | PHD
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Telephone | 972-814-9406
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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 | 17010
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License Number State | TX
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