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General NPI Number Information
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NPI Number | 1811373301
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Entity Type | Organization
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Legal Business Name | RICHLAND OAKS COUNSELING CENTER
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 1221 ABRAMS RD SUITE 325
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City | RICHARDSON
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State | TX
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Zip | 75081-5578
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Country | US
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Telephone | 469-619-7622
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 ABRAMS RD SUITE 325
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City | RICHARDSON
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State | TX
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Zip | 75081-5578
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Country | US
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Telephone | 469-619-7622
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. MICHAEL J LEACH
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Credential | PSYCHOLOGIST
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Telephone | 469-619-7622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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