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General NPI Number Information
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NPI Number | 1346947314
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Entity Type | Individual
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Provider Name | AMBER MARIE BRYAN- PARKER LPC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 1700 COVEMEADOW DR
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City | ARLINGTON
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State | TX
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Zip | 76012-5407
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Country | US
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Telephone | 281-836-3704
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Fax |
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Provider Business Mailing Address
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Address Line | 10113 UP RIVER RD APT 5103
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City | CORPUS CHRISTI
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State | TX
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Zip | 78410-1518
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Country | US
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Telephone | 956-458-9720
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 84035
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License Number State | TX
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