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General NPI Number Information
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NPI Number | 1922202290
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Entity Type | Organization
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Legal Business Name | CHEMICAL DEPENDENCY EDUCATION PROGRAMS
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2520 ELECTRONIC LN SUITE 810
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City | DALLAS
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State | TX
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Zip | 75220-1252
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Country | US
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Telephone | 214-350-1711
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Fax | 214-350-4661
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Provider Business Mailing Address
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Address Line | 2520 ELECTRONIC LN SUITE 810
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City | DALLAS
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State | TX
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Zip | 75220-1252
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Country | US
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Telephone | 214-350-1711
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Fax | 214-350-4661
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MIKAL JONES
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Credential |
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Telephone | 214-350-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1761
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License Number State | TX
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