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General NPI Number Information
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NPI Number | 1942005103
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Entity Type | Individual
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Provider Name | PATIENCE EZE MENTAL HEALTH
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2021 GUADALUPE ST STE 260
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City | AUSTIN
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State | TX
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Zip | 78705-5654
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Country | US
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Telephone | 646-941-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 CESAREO DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-8739
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Country | US
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Telephone |
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 232540
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License Number State | TX
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