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General NPI Number Information
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NPI Number | 1902447683
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Entity Type | Organization
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Legal Business Name | MARIA T ISAVA, LCSW PLLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 4425 PLANO PKWY STE 701
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City | CARROLLTON
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State | TX
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Zip | 75010-5031
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Country | US
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Telephone | 469-469-9557
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Fax |
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Provider Business Mailing Address
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Address Line | 601 SHASTA CT
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-7056
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Country | US
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Telephone | 469-469-9557
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Fax |
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | ADELE MARIE KONYK
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Credential |
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Telephone | 561-702-8265
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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 |
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License Number State |
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