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General NPI Number Information
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NPI Number | 1740931963
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Entity Type | Individual
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Provider Name | TATIANNA F CHIN LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 10300 N CENTRAL EXPY STE 280
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City | DALLAS
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State | TX
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Zip | 75231-8666
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Country | US
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Telephone | 325-704-8776
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Fax |
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Provider Business Mailing Address
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Address Line | 13101 PRESTON RD STE 110-3216
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City | DALLAS
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State | TX
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Zip | 75240-5237
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Country | US
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Telephone | 325-704-8776
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 203631
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License Number State | TX
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