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General NPI Number Information
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NPI Number | 1942331590
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Entity Type | Individual
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Provider Name | NAHID T HOOSHYAR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 10300 N CENTRAL EXPY SUITE 320
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City | DALLAS
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State | TX
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Zip | 75231-8600
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Country | US
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Telephone | 972-998-5647
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Fax | 214-378-7009
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Provider Business Mailing Address
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Address Line | 6611 CLUBHOUSE CIR
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City | DALLAS
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State | TX
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Zip | 75240-5448
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Country | US
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Telephone |
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Fax | 214-378-7009
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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 | 30737
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License Number State | TX
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