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General NPI Number Information
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NPI Number | 1952037095
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Entity Type | Organization
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Legal Business Name | XANDER MENTAL HEALTH CLINIC
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Dates
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Enumeration Date | 07/30/2022
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Last Update Date | 07/30/2022
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Provider Practice Location Address
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Address Line | 8035 E RL THRTN FWY STE 452
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City | DALLAS
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State | TX
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Zip | 75228-1016
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Country | US
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Telephone | 214-235-1687
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Fax | 214-324-3090
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Provider Business Mailing Address
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Address Line | 8035 E RL THRTN FWY STE 452
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City | DALLAS
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State | TX
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Zip | 75228-1016
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Country | US
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Telephone | 214-235-1687
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Fax | 214-324-3090
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Authorized Official
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Title or Position | OWNER NP
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Name | CHRISTIANA LEKWUWA
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Credential |
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Telephone | 214-235-1687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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