Provider Information for 1679049100
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Mr. JOSEPH DAD LPC
Sex: Male
NPI: 1679049100
Last Updated: 2018-10-23
Certification Date:
Certification Date:
Details
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NPI | 1679049100 | ||||||||
Enumeration Date | 2018-10-23 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 3113 ROSS ST AMARILLO, TX 79103-2700 United States Phone: 806-374-7341 | Fax:806-322-0533 | ||||||||
Primary Practice Address | 3113 ROSS ST AMARILLO, TX 79103-2700 United States Phone: 806-374-7341 | Fax:806-322-0533 | ||||||||
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