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General NPI Number Information
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NPI Number | 1043389802
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Entity Type | Individual
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Provider Name | DEBRA J. PURVIS LPC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/10/2023
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Provider Practice Location Address
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Address Line | 8821 DAVIS BLVD BLDG 4 STE 400
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City | KELLER
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State | TX
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Zip | 76248-0327
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Country | US
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Telephone | 817-692-1023
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Fax | 940-433-2144
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Provider Business Mailing Address
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Address Line | PO BOX 2014
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City | BOYD
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State | TX
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Zip | 76023-2014
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Country | US
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Telephone | 817-692-1023
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Fax | 940-433-2144
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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 | 16254
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 16254
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 16254
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16254
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 16254
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License Number State | TX
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