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General NPI Number Information
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NPI Number | 1760522510
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Entity Type | Organization
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Legal Business Name | DALLAS INDEPENDENT SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 9400 N CENTRAL EXPY STE 1305
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City | DALLAS
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State | TX
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Zip | 75231-4861
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Country | US
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Telephone | 972-502-4192
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Fax | 972-794-3530
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Provider Business Mailing Address
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Address Line | 9400 N CENTRAL EXPY # 384
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City | DALLAS
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State | TX
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Zip | 75231-5027
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Country | US
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Telephone | 972-502-4190
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Fax | 214-932-7587
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Authorized Official
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Title or Position | GENERAL SUPERINTENDENT
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Name | MRS. STEPHANIE ELIZALDE
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Credential | ED.D.
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Telephone | 972-925-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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