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General NPI Number Information
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NPI Number | 1285828129
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Entity Type | Individual
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Provider Name | LEIGH ANN PRAY LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 1407 UNION AVE
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City | MEMPHIS
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State | TN
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Zip | 38104
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Country | US
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Telephone | 901-800-4645
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Fax | 901-729-6377
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Provider Business Mailing Address
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Address Line | 3424 BENT CREEK CV
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City | COLLIERVILLE
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State | TN
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Zip | 38017-8956
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Country | US
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Telephone | 615-804-7164
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 661
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License Number State | TN
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