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General NPI Number Information
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NPI Number | 1104997352
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Entity Type | Individual
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Provider Name | RONNY PIPES MA, LPC-S
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 4913 RUFE SNOW DR SUITE 101-C
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-7856
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Country | US
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Telephone | 817-689-7887
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Fax | 214-648-0167
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Provider Business Mailing Address
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Address Line | 13896 MAXWELL BLVD
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City | FORT WORTH
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State | TX
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Zip | 76179-9228
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Country | US
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Telephone | 817-689-7887
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Fax | 214-648-0167
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 012726
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License Number State | TX
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