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General NPI Number Information
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NPI Number | 1871735373
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Entity Type | Organization
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Legal Business Name | NOELLE K. MCDONALD, PH.D.
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 6350 LYNDON B JOHNSON FWY STE 151
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City | DALLAS
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State | TX
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Zip | 75240-6408
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Country | US
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Telephone | 214-557-6916
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Fax | 972-392-9695
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Provider Business Mailing Address
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Address Line | 6350 LYNDON B JOHNSON FWY STE 151
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City | DALLAS
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State | TX
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Zip | 75240-6408
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Country | US
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Telephone | 214-557-6916
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Fax | 972-392-9695
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. NOELLE K. MCDONALD
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Credential | PH.D.
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Telephone | 214-557-6916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 33207
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 33207
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License Number State | TX
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