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General NPI Number Information
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NPI Number | 1699026864
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Entity Type | Organization
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Legal Business Name | ANDREA HESTER, PHD, PLLC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 12820 HILLCREST RD STE C-100
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City | DALLAS
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State | TX
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Zip | 75230-1526
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Country | US
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Telephone | 214-663-5295
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Fax |
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Provider Business Mailing Address
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Address Line | 12820 HILLCREST RD STE C-100
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City | DALLAS
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State | TX
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Zip | 75230-1526
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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 | NEUROPSYCHOLOGIST
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Name | DR. ANDREA HESTER
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Credential | PHD
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Telephone | 214-663-5295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 34346
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License Number State | TX
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