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General NPI Number Information
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NPI Number | 1760811939
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Entity Type | Individual
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Provider Name | MRS. REBECKA HONARDAR
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 10300 N CENTRAL EXPY SUITE #335
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City | DALLAS
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State | TX
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Zip | 75231-8600
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Country | US
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Telephone | 214-265-6051
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Fax |
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Provider Business Mailing Address
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Address Line | 12733 CEDAR HOLLOW DR
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City | FORT WORTH
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State | TX
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Zip | 76244-4381
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Country | US
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Telephone | 972-898-0350
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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 | 67292
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 67292
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License Number State | TX
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