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General NPI Number Information
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NPI Number | 1770991275
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Entity Type | Organization
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Legal Business Name | CENTER FOR STRESS MANAGEMENT
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 3960 BROADWAY BLVD SUITE 120
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City | GARLAND
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State | TX
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Zip | 75043-2593
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Country | US
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Telephone | 214-703-3317
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Fax | 214-703-3948
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Provider Business Mailing Address
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Address Line | 4304 LEE HUTSON DR
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City | SACHSE
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State | TX
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Zip | 75048-4278
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANE WILLIAMSON
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Credential |
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Telephone | 972-977-0012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8892
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License Number State | TX
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