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General NPI Number Information
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NPI Number | 1871390039
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Entity Type | Individual
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Provider Name | MICHAELA BINDEWALD LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 17101 PRESTON RD STE 110
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City | DALLAS
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State | TX
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Zip | 75248-1374
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Country | US
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Telephone | 972-250-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 6248 ASSEMBLY PARK BLVD APT 1301
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City | PLANO
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State | TX
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Zip | 75074-2534
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Country | US
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Telephone | 434-429-8006
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904018052
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License Number State | VA
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