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General NPI Number Information
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NPI Number | 1265706279
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Entity Type | Organization
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Legal Business Name | PIERCE & AGNEW LLC
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 25 1ST ST NW
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City | PARIS
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State | TX
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Zip | 75460-4102
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Country | US
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Telephone | 903-784-1010
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Fax | 903-784-1012
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Provider Business Mailing Address
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Address Line | 25 1ST ST NW
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City | PARIS
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State | TX
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Zip | 75460-4102
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Country | US
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Telephone | 903-784-1010
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Fax | 903-784-1012
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Authorized Official
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Title or Position | MEMBER
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Name | MS. MELISSA CARROLL PIERCE
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Credential | BS, LCDC
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Telephone | 903-784-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 9983
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License Number State | TX
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