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General NPI Number Information
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NPI Number | 1588236160
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Entity Type | Individual
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Provider Name | TARA CHEREE LANGSTON LPC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 6860 DALLAS PKWY STE 269
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City | PLANO
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State | TX
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Zip | 75024-4232
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Country | US
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Telephone | 214-212-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 4206 N HILL DR
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City | CARROLLTON
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State | TX
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Zip | 75010-4033
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Country | US
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Telephone | 214-212-5133
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 82297
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License Number State | TX
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