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General NPI Number Information
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NPI Number | 1750401972
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Entity Type | Individual
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Provider Name | WILLIAM RANDOLPH BILLINGSLEY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1810 8TH AVE STE B-10
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City | FORT WORTH
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State | TX
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Zip | 76110-1352
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Country | US
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Telephone | 817-688-3788
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Fax | 817-738-8866
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Provider Business Mailing Address
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Address Line | 1810 8TH AVE STE B-10
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City | FORT WORTH
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State | TX
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Zip | 76110-1352
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Country | US
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Telephone | 817-688-3788
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Fax | 817-738-8866
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2-3146
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2-3146
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 2-3146
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License Number State | TX
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