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General NPI Number Information
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NPI Number | 1881019958
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Entity Type | Organization
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Legal Business Name | MOTOKO SAITO NISHIGAYA, LPC
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 2220 DEGAS DR
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City | CARROLLTON
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State | TX
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Zip | 75006-1543
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Country | US
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Telephone | 972-850-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 DEGAS DR
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City | CARROLLTON
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State | TX
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Zip | 75006-1543
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MOTOKO SAITO NISHIGAYA
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Credential | LPC
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Telephone | 972-467-7775
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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 | 69462
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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 | 69462
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License Number State | TX
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