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General NPI Number Information
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NPI Number | 1750438966
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Entity Type | Individual
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Provider Name | TRAVIS RAY STRANGE LPC - SUPERVISOR
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 133 CHIEFTAIN DR STE 105
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1587
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Country | US
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Telephone | 469-773-0980
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Fax |
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Provider Business Mailing Address
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Address Line | 547 SANTA FE TRL
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1513
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Country | US
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Telephone | 469-383-9988
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 19661
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License Number State | TX
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