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General NPI Number Information
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NPI Number | 1740788686
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Entity Type | Organization
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Legal Business Name | DISCOVERY 180 INTEGRATIVE SOLUTIONS
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 8668 JOHN HICKMAN PKWY
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City | FRISCO
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State | TX
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Zip | 75034-8131
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Country | US
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Telephone | 214-295-6131
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Fax | 214-256-3626
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Provider Business Mailing Address
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Address Line | 8668 JOHN HICKMAN PKWY
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City | FRISCO
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State | TX
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Zip | 75034-8131
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Country | US
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Telephone | 214-295-6131
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Fax | 214-256-3626
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | DR. JOSEPH HOBART BARBOUR
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Credential | PHD
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Telephone | 505-321-9829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number | Q9162
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License Number State | TX
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