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General NPI Number Information
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NPI Number | 1891851432
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Entity Type | Organization
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Legal Business Name | ADVANCED PSYCH SOLUTIONS INCORPORATED
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 2405 STONEWALL ST STE 8
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City | GREENVILLE
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State | TX
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Zip | 75401-3349
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Country | US
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Telephone | 903-454-3300
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Fax | 903-454-3307
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Provider Business Mailing Address
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Address Line | 2006 CARTIER XING
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City | ALLEN
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State | TX
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Zip | 75013-5632
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Country | US
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Telephone | 214-364-8658
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Fax | 214-364-8658
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | LILLIE GILLEN HINKELMAN
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Credential | LCSW
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Telephone | 214-364-8658
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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 | 34104
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License Number State | TX
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