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General NPI Number Information
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NPI Number | 1629275755
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Entity Type | Individual
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Provider Name | CANDACE E HYMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8222 DOUGLAS AVE STE 777
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City | DALLAS
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State | TX
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Zip | 75225-5938
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Country | US
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Telephone | 972-761-9902
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Fax | 972-233-7114
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Provider Business Mailing Address
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Address Line | 7110 ALPHA RD
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City | DALLAS
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State | TX
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Zip | 75240-5526
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Country | US
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Telephone | 972-233-7112
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Fax | 872-233-7114
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14348
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License Number State | TX
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