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General NPI Number Information
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NPI Number | 1932966470
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Entity Type | Individual
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Provider Name | LINDSAY DIANE MUNGUIA LMFT-A
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Gender | Female
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 4222 TRINITY MILLS RD STE 250
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City | DALLAS
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State | TX
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Zip | 75287-7655
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Country | US
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Telephone | 972-534-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 116 TRIPP TRL
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City | DENTON
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State | TX
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Zip | 76207-7280
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Country | US
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Telephone | 940-300-6088
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 205311
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License Number State | TX
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