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General NPI Number Information
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NPI Number | 1326297821
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Entity Type | Organization
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Legal Business Name | SCRUGGS & ASSOCIATES FAMILY COUNSELING CENTER, P.C., INC.
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 13010 FLAXSEED WAY
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City | STAFFORD
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State | TX
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Zip | 77477-3408
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Country | US
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Telephone | 281-564-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 13010 FLAXSEED WAY
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City | STAFFORD
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State | TX
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Zip | 77477-3408
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Country | US
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Telephone | 281-564-4348
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PROVILLA HENDERSON SCRUGGS
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Credential | M.ED.
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Telephone | 281-564-4348
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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 | 1929
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1929
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License Number State | TX
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