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General NPI Number Information
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NPI Number | 1689038481
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Entity Type | Individual
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Provider Name | MRS. RENA WECHTER
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Gender | Female
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 6230 GRAY WOLF TRL
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City | DALLAS
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State | TX
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Zip | 75252-2615
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Country | US
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Telephone | 214-914-6691
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Fax |
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Provider Business Mailing Address
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Address Line | 6230 GRAY WOLF TRL
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City | DALLAS
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State | TX
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Zip | 75252-2615
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Country | US
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Telephone | 214-914-6691
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 30510
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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 | 11557
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License Number State | TX
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