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General NPI Number Information
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NPI Number | 1982129789
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Entity Type | Individual
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Provider Name | MARVIN DALE SCHICK LMFT
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Gender | Male
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 2001 W PLANO PKWY STE 2300
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City | PLANO
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State | TX
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Zip | 75075-8612
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Country | US
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Telephone | 972-422-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 3015 TRAILWOOD DR
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City | MCKINNEY
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State | TX
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Zip | 75070-7450
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Country | US
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Telephone | 214-549-3793
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 202220
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License Number State | TX
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