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General NPI Number Information
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NPI Number | 1629156682
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Entity Type | Organization
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Legal Business Name | KAREN SUZANNE HALES
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 2750 W. VIRGINIA PKWY STE 108
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 972-542-8144
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Fax | 972-548-9891
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Provider Business Mailing Address
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Address Line | 2750 W. VIRGINIA PARKWAY STE 108
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 972-542-8144
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Fax | 972-548-9891
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KELLI SMART
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Credential | OFFICE MANAGER
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Telephone | 972-542-8144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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