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General NPI Number Information
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NPI Number | 1720791288
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Entity Type | Organization
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Legal Business Name | SEVN THERAPY CO. PLLC
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 1700 TENNISON PKWY STE 100B
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6295
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Country | US
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Telephone | 817-778-0522
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Fax | 817-778-0336
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Provider Business Mailing Address
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Address Line | 1700 TENNISON PKWY STE 100B
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6295
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Country | US
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Telephone | 817-778-0522
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Fax | 817-778-0336
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | SEAN REED
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Credential | DIRECTOR
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Telephone | 817-734-5349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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