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General NPI Number Information
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NPI Number | 1922867167
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Entity Type | Individual
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Provider Name | DIANA SHIRKEY LPC-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 200 PLUM ST
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City | ROYSE CITY
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State | TX
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Zip | 75189-2585
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Country | US
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Telephone | 903-441-2079
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Fax |
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Provider Business Mailing Address
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Address Line | 212 GAYLE LN
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City | WEST TAWAKONI
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State | TX
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Zip | 75474-1200
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Country | US
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Telephone | 903-441-2079
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 91602
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License Number State | TX
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