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General NPI Number Information
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NPI Number | 1972358828
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Entity Type | Organization
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Legal Business Name | INTERNAL INSIGHTS THERAPY PLLC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 4242 WOODCOCK DR STE 258
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1333
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Country | US
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Telephone | 512-798-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 4242 WOODCOCK DR STE 258
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1333
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Country | US
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Telephone | 512-798-3712
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TED MENGPA THAO
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Credential |
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Telephone | 918-935-4484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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