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NPI 1871215848

NPI 1871215848 : ACCESS PSYCHIATRY WACO PLLC : WACO, TX

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General NPI Number Information
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    NPI Number           |    1871215848
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCESS PSYCHIATRY WACO PLLC 
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Dates
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    Enumeration Date     |    09/15/2022
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    Last Update Date     |    02/02/2026
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Provider Practice Location Address
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    Address Line         |    1105 WOODED ACRES DR STE 430 
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    City                 |    WACO
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    State                |    TX
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    Zip                  |    76710-4450
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    Country              |    US
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    Telephone            |    254-294-2887
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    Fax                  |    254-233-8878
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Provider Business Mailing Address
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    Address Line         |    1105 WOODED ACRES DR STE 430 
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    City                 |    WACO
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    State                |    TX
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    Zip                  |    76710-4450
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    Country              |    US
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    Telephone            |    254-294-2887
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    Fax                  |    254-233-8878
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Authorized Official
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    Title or Position    |    APRN, PMHNP-BC   OWNER
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    Name                 |    MRS. MARGUERITE 'PEGGY' W ADDISON 
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    Credential           |    APRN, PMHNP-BC
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    Telephone            |    817-999-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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