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General NPI Number Information
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NPI Number | 1174680029
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Entity Type | Individual
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Provider Name | VICKY HAYNES PRATTON LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 9511 HOLSBERRY RD SUITE B-7
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City | PENSACOLA
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State | FL
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Zip | 32534-1319
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Country | US
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Telephone | 850-449-3644
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Fax | 850-494-0817
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Provider Business Mailing Address
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Address Line | PO BOX 10099
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City | PENSACOLA
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State | FL
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Zip | 32524-0099
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Country | US
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Telephone | 850-449-3644
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Fax | 850-494-0817
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH0001388
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License Number State | FL
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