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General NPI Number Information
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NPI Number | 1790090025
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Entity Type | Organization
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Legal Business Name | DALLAS SIGMA COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 1902 COUNTRY CLUB DR STE 120
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City | CARROLLTON
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State | TX
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Zip | 75006-5824
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Country | US
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Telephone | 972-820-6299
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Fax | 972-417-7000
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Provider Business Mailing Address
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Address Line | 1902 COUNTRY CLUB DR STE 120
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City | CARROLLTON
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State | TX
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Zip | 75006-5824
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Country | US
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Telephone | 972-820-6299
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Fax | 972-417-7000
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Authorized Official
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Title or Position | CEO
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Name | MR. PYEONGSOO JUNG
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Credential | LPC
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Telephone | 214-358-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 32519
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18052
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License Number State | TX
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