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General NPI Number Information
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NPI Number | 1700188760
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Entity Type | Organization
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Legal Business Name | DALLAS CHILD PSYCHIATRY,P.A
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 4001 W 15TH ST SUITE 350
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City | PLANO
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State | TX
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Zip | 75093-5841
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Country | US
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Telephone | 214-603-7933
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Fax |
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Provider Business Mailing Address
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Address Line | 5313 SAINT CROIX CT
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City | RICHARDSON
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State | TX
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Zip | 75082-4134
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Country | US
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Telephone | 214-603-7933
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEHVESH AFRINA
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Credential | M.D
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Telephone | 214-603-7933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | N0592
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | N0592
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License Number State | TX
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