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General NPI Number Information
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NPI Number | 1669146171
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Entity Type | Organization
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Legal Business Name | THERAPY & BEYOND MEDICAL MANAGEMENT, LLC
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Dates
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Enumeration Date | 08/07/2021
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Last Update Date | 08/07/2021
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Provider Practice Location Address
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Address Line | 2020 E HEBRON PARKWAY SUITE 100
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City | CARROLLTON
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State | TX
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Zip | 75007-1609
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Country | US
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Telephone | 469-892-7500
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Fax | 469-575-3002
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Provider Business Mailing Address
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Address Line | 2020 E HEBRON PARKWAY SUITE 100
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City | CARROLLTON
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State | TX
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Zip | 75007-1609
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Country | US
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Telephone | 469-892-7500
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Fax | 469-575-3002
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Authorized Official
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Title or Position | CONTROLLER
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Name | KEVIN ATAMAH
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Credential |
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Telephone | 469-892-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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