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General NPI Number Information
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NPI Number | 1568718500
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Entity Type | Organization
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Legal Business Name | SAXBY HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 3016 SE LOOP 820
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City | FORT WORTH
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State | TX
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Zip | 76140-1015
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Country | US
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Telephone | 972-331-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 SPINNAKER CT
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City | IRVING
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State | TX
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Zip | 75063-5459
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRISTIANA IKHILE
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Credential |
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Telephone | 972-331-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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