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General NPI Number Information
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NPI Number | 1689388860
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Entity Type | Organization
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Legal Business Name | LEARNING ABOUT FAMILY
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 3325 SSW LOOP 323
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City | TYLER
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State | TX
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Zip | 75701-9221
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Country | US
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Telephone | 903-330-1536
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Fax | 903-470-7328
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Provider Business Mailing Address
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Address Line | 3334 SSW LOOP 323 STE 107
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City | TYLER
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State | TX
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Zip | 75701-9237
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Country | US
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Telephone | 903-330-1536
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Fax | 903-470-7328
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BRANDI COCHRELL
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Credential |
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Telephone | 903-330-1536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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