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General NPI Number Information
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NPI Number | 1780430918
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Entity Type | Individual
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Provider Name | TIFFANY TRION GALLOWAY LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 5700 DALLAS PKWY
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City | FRISCO
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State | TX
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Zip | 75034-9580
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Country | US
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Telephone | 469-515-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 WELBORN ST
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City | DALLAS
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State | TX
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Zip | 75219-3924
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Country | US
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Telephone | 214-559-5000
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Fax | 214-443-7309
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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 |
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License Number State |
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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 | 63404
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License Number State | TX
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