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General NPI Number Information
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NPI Number | 1962106831
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Entity Type | Organization
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Legal Business Name | EUDAIMONIA WELLNESS, PLLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 4100 SPRING VALLEY RD STE 910
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City | DALLAS
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State | TX
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Zip | 75244-3646
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Country | US
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Telephone | 214-945-2727
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Fax | 972-449-7075
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 214-945-2727
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Fax | 972-449-7075
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ALAN EDWARD JOHNSON
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Credential | PSYD
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Telephone | 214-945-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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