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General NPI Number Information
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NPI Number | 1033558721
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Entity Type | Individual
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Provider Name | GARY SOSBEE LPC
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Gender | Male
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 2201 S W S YOUNG DR STE 116B
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City | KILLEEN
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State | TX
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Zip | 76543-5349
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Country | US
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Telephone | 254-634-2212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1331
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City | BELTON
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State | TX
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Zip | 76513-5331
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 66632
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11043
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License Number State | TX
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