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General NPI Number Information
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NPI Number | 1851733455
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Entity Type | Organization
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Legal Business Name | LIFEVIEW SOLUTIONS, GP
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 751 HEBRON PKWY 320
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City | LEWISVILLE
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State | TX
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Zip | 75057-5055
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Country | US
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Telephone | 214-770-6305
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Fax |
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Provider Business Mailing Address
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Address Line | 751 HEBRON PKWY 320
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City | LEWISVILLE
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State | TX
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Zip | 75057-5055
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Country | US
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Telephone | 214-770-6305
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMES RANDY INGRAM
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Credential | PHD
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Telephone | 214-770-6305
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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 | 11835
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4213
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License Number State | TX
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