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General NPI Number Information
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NPI Number | 1811363344
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Entity Type | Organization
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Legal Business Name | SASHI'S WORLD INC.
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3800 S W S YOUNG DR STE 104A
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City | KILLEEN
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State | TX
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Zip | 76542-3312
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Country | US
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Telephone | 254-519-1150
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Fax | 254-519-1151
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Provider Business Mailing Address
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Address Line | 3800 S W S YOUNG DR STE 104A
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City | KILLEEN
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State | TX
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Zip | 76542-3312
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Country | US
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Telephone | 254-338-3737
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Fax | 254-519-1151
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUSAN CLARK-LADD
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Credential | LMFT, LPC
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Telephone | 254-519-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 64044
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License Number State | TX
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