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General NPI Number Information
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NPI Number | 1033641808
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Entity Type | Individual
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Provider Name | DESTINY PEGRAM
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Gender | Female
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 6330 WEST LOOP S STE 200
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City | BELLAIRE
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State | TX
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Zip | 77401-2924
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Country | US
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Telephone | 508-334-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6330 WEST LOOP S STE 200
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City | BELLAIRE
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State | TX
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Zip | 77401-2924
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | V8363
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 281537
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License Number State | MA
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