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General NPI Number Information
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NPI Number | 1629882808
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Entity Type | Organization
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Legal Business Name | 53 CHRISTOPHER PLLC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 7740 BANTRY LN
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City | DALLAS
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State | TX
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Zip | 75248-1706
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Country | US
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Telephone | 817-564-4471
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 600370
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City | DALLAS
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State | TX
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Zip | 75360-0370
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Country | US
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Telephone | 945-998-4027
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MAYME LEE CONNORS
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Credential | LCP-A, LCDC
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Telephone | 945-998-4027
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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 |
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License Number State |
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