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General NPI Number Information
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NPI Number | 1740573740
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Entity Type | Organization
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Legal Business Name | HEALING PSYCHIATRY PLLC
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 2700 TIBBETS DR SUITE 406
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City | BEDFORD
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State | TX
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Zip | 76022-5928
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Country | US
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Telephone | 817-571-2899
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Fax | 817-571-9879
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Provider Business Mailing Address
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Address Line | 100 YALE COURT
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City | SOUTHLAKE
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State | TX
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Zip | 76092-8480
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Country | US
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Telephone | 214-497-8230
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR/OWNER
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Name | DR. NEENA PATEL
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Credential | M.D.
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Telephone | 214-497-8230
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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 | L8470
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License Number State | TX
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