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General NPI Number Information
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NPI Number | 1902279490
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Entity Type | Individual
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Provider Name | INDIRA CHRISMAN-FEWELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 9555 LEBANON RD
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City | FRISCO
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State | TX
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Zip | 75035-6095
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Country | US
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Telephone | 833-282-7378
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Fax | 833-329-4968
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Provider Business Mailing Address
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Address Line | PO BOX 2211
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City | FRISCO
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State | TX
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Zip | 75034-0040
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Country | US
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Telephone | 833-282-7378
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Fax | 833-329-4968
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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 | 6639
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 65988
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License Number State | TX
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