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General NPI Number Information
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NPI Number | 1912187063
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Entity Type | Organization
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Legal Business Name | THE COUCH, P.A.
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 3901 W GREEN OAKS BLVD SUITE B
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City | ARLINGTON
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State | TX
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Zip | 76016-2795
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Country | US
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Telephone | 817-496-7700
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Fax | 817-496-8622
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Provider Business Mailing Address
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Address Line | 3901 W GREEN OAKS BLVD SUITE B
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City | ARLINGTON
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State | TX
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Zip | 76016
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Country | US
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Telephone | 817-496-7700
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Fax | 817-496-8622
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANGEETA AWASTHI
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Credential | M.D.
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Telephone | 817-496-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | H7537
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License Number State | TX
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