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General NPI Number Information
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NPI Number | 1841568508
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Entity Type | Organization
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Legal Business Name | CENTER FOR MARRIAGE AND FAMILY COUNSELING
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 3203 OVERHILL DR
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City | FRISCO
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State | TX
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Zip | 75033-1158
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Country | US
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Telephone | 214-250-7808
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Fax |
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Provider Business Mailing Address
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Address Line | 860 HEBRON PKWY #1102
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City | LEWISVILLE
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State | TX
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Zip | 75057-5151
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Country | US
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Telephone | 214-250-7808
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Fax | 972-315-6161
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. SHANE D ADAMSON
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Credential | 214-250-7808
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Telephone | 214-250-7808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 296205-3501
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 53600
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License Number State | TX
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