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General NPI Number Information
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NPI Number | 1861655326
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Entity Type | Individual
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Provider Name | BETTE SMYTH PHD, MED, MA
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Gender | Female
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Dates
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Enumeration Date | 07/04/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 6220 GASTON AVE 501
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City | DALLAS
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State | TX
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Zip | 75214-4329
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Country | US
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Telephone | 469-371-5886
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Fax |
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Provider Business Mailing Address
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Address Line | 517 CLERMONT ST
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City | DALLAS
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State | TX
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Zip | 75223-1207
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Country | US
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Telephone | 469-371-5886
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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 | LPC13621
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License Number State | TX
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