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General NPI Number Information
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NPI Number | 1679340251
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Entity Type | Individual
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Provider Name | JORDASHA ATCHISON
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Gender | Female
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1400 PRESTON RD STE 300
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City | PLANO
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State | TX
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Zip | 75093-3603
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Country | US
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Telephone | 469-931-2229
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Fax | 214-614-4610
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Provider Business Mailing Address
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Address Line | 12700 HILLCREST RD STE 143
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City | DALLAS
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State | TX
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Zip | 75230-7132
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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 |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 40499
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 71542
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License Number State | TX
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