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General NPI Number Information
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NPI Number | 1114198249
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Entity Type | Individual
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Provider Name | PAMELA DYSON
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Gender | Female
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 3900 PEBBLE CREEK CT SUITE 102
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City | PLANO
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State | TX
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Zip | 75023-5962
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Country | US
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Telephone | 314-681-8272
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 PEBBLE CREEK CT SUITE 102
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City | PLANO
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State | TX
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Zip | 75023-5962
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Country | US
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Telephone | 314-681-8272
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2007011884
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License Number State | MO
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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 | 72733
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License Number State | TX
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