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General NPI Number Information
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NPI Number | 1326403981
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Entity Type | Organization
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Legal Business Name | ORAN L. PRYOR MA, LPC
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 01/03/2016
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Provider Practice Location Address
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Address Line | 104 SPINNER RD
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City | DESOTO
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State | TX
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Zip | 75115-4430
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Country | US
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Telephone | 972-948-6136
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Fax | 972-767-0044
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Provider Business Mailing Address
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Address Line | 104 SPINNER RD
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City | DESOTO
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State | TX
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Zip | 75115-4430
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Country | US
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Telephone | 972-948-6136
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Fax | 972-767-0044
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Authorized Official
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Title or Position | LPC
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Name | ORAN L PRYOR
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Credential |
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Telephone | 972-948-6136
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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 | 19181
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License Number State | TX
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