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General NPI Number Information
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NPI Number | 1710419809
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Entity Type | Organization
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Legal Business Name | MARY E RIXFORD LLC
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 6750 HILLCREST PLAZA DR SUITE 222
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City | DALLAS
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State | TX
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Zip | 75230-1400
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Country | US
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Telephone | 214-533-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 5906 BUFFRIDGE TRL
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City | DALLAS
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State | TX
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Zip | 75252-2330
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Country | US
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Telephone | 972-788-0990
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Fax |
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Authorized Official
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Title or Position | VP FINANCE
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Name | MR. BRETT D RIXFORD
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Credential |
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Telephone | 214-356-6526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | LPC 11131
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License Number State | TX
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