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General NPI Number Information
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NPI Number | 1780079574
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Entity Type | Individual
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Provider Name | DAVID NEAL WELSH LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 3840 HULEN ST NORTH TOWER
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City | FORT WORTH
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State | TX
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Zip | 76107-7277
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Country | US
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Telephone | 817-569-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 10349 BRANGUS DR
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City | CROWLEY
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State | TX
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Zip | 76036-9513
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Country | US
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Telephone | 817-297-2508
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Fax | 817-297-2508
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 52629
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License Number State | TX
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