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General NPI Number Information
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NPI Number | 1679042444
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Entity Type | Organization
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Legal Business Name | A NEW DAY ELI COUNSELING PLLC
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 15632 STATE HIGHWAY 110 S STE 23
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City | WHITEHOUSE
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State | TX
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Zip | 75791-5524
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Country | US
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Telephone | 833-639-3290
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Fax |
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Provider Business Mailing Address
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Address Line | 1513 HOLLY CREEK DR
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City | TYLER
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State | TX
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Zip | 75703-0910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHLENE ELI
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Credential | LPC
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Telephone | 833-639-3290
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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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