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General NPI Number Information
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NPI Number | 1972280220
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Entity Type | Individual
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Provider Name | MUBEEN ALI
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Gender | Male
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 12740 HILLCREST PLAZA DR STE 270
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 972-468-1564
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Fax |
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Provider Business Mailing Address
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Address Line | 3824 CEDAR SPRINGS RD STE 545
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City | DALLAS
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State | TX
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Zip | 75219-4136
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Country | US
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Telephone | 972-468-1564
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 91186
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License Number State | TX
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