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General NPI Number Information
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NPI Number | 1588403059
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Entity Type | Individual
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Provider Name | DAVID BRYAN ELLIOTT LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 5445 LEGACY DR STE 270
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City | PLANO
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State | TX
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Zip | 75024-3363
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Country | US
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Telephone | 972-528-0009
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Fax | 972-499-6935
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Provider Business Mailing Address
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Address Line | 2050 FM 423 APT 5804
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City | LITTLE ELM
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State | TX
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Zip | 75068-6995
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Country | US
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Telephone | 817-395-8816
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 106344
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License Number State | TX
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