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General NPI Number Information
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NPI Number | 1922615418
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Entity Type | Individual
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Provider Name | KELSEY HOLLIS LPC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 6942 ASH ST
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City | FRISCO
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State | TX
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Zip | 75034-5025
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Country | US
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Telephone | 972-755-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 STILLWATER TRL
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City | CARROLLTON
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State | TX
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Zip | 75007-6228
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Country | US
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Telephone | 214-766-1447
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 75444
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License Number State | TX
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