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General NPI Number Information
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NPI Number | 1609461250
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Entity Type | Organization
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Legal Business Name | RALEIGH PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 7557 RAMBLER RD STE 740
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City | DALLAS
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State | TX
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Zip | 75231-2390
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Country | US
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Telephone | 469-580-7763
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Fax | 214-736-2482
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Provider Business Mailing Address
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Address Line | 7557 RAMBLER RD STE 740
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City | DALLAS
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State | TX
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Zip | 75231-2390
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Country | US
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Telephone | 469-580-7763
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Fax | 214-736-2482
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. KAITLYN DECHANT
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Credential |
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Telephone | 469-580-7763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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