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General NPI Number Information
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NPI Number | 1699741975
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Entity Type | Organization
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Legal Business Name | ABILENE REGIONAL MHMR CENTER
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 2616 S CLACK STE 160
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City | ABILENE
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State | TX
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Zip | 79606-1557
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Country | US
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Telephone | 325-690-5131
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Fax | 325-690-5263
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Provider Business Mailing Address
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Address Line | 2616 S CLACK STE 160
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City | ABILENE
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State | TX
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Zip | 79606-1557
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Country | US
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Telephone | 325-690-5131
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Fax | 325-690-5263
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Authorized Official
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Title or Position | CEO CHIEF EXECUTIVE OFFICER
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Name | MRS. JENNIFER K GOODE
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Credential | CEO
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Telephone | 325-690-5135
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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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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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Taxonomy #8
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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