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General NPI Number Information
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NPI Number | 1851458780
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Entity Type | Individual
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Provider Name | EUNISE O RICHARDSON LPCI
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 12740 HILLCREST RD
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City | DALLAS
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State | TX
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Zip | 75230-2038
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Country | US
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Telephone | 972-233-0721
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Fax | 972-233-0751
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Provider Business Mailing Address
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Address Line | 201 VIVIAN DR
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City | WAXAHACHIE
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State | TX
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Zip | 75165-8756
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Country | US
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Telephone | 214-549-5877
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62395
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License Number State | TX
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