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General NPI Number Information
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NPI Number | 1891203881
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Entity Type | Organization
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Legal Business Name | NDC SERVICES, PLLC
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 3505 OLSEN BLVD STE 216
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City | AMARILLO
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State | TX
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Zip | 79109-3032
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Country | US
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Telephone | 806-681-5943
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | BUSHLAND
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State | TX
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Zip | 79012-0164
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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 | MANAGER
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Name | CHRISTIN HALL
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Credential | LPC
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Telephone | 806-681-5943
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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 | 65842
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License Number State | TX
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