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General NPI Number Information
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NPI Number | 1831503457
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Entity Type | Organization
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Legal Business Name | THERAPY & BEYOND OF NORTH TEXAS
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 3630 N JOSEY LN STE 100
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City | CARROLLTON
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State | TX
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Zip | 75007-3159
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Country | US
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Telephone | 469-892-7500
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Fax | 888-237-2214
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Provider Business Mailing Address
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Address Line | 3620 N JOSEY LN STE 210
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City | CARROLLTON
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State | TX
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Zip | 75007-3157
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Country | US
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Telephone | 469-892-7500
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Fax | 888-237-2214
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Authorized Official
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Title or Position | TREATMENT DEVELOPMENT DIRECTOR
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Name | TASHENNA GILLMORE
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Credential | M.ED, BCBA
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Telephone | 469-892-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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