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General NPI Number Information
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NPI Number | 1417008921
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Entity Type | Organization
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Legal Business Name | D PRUITT & ASSOCIATES
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 6136 FRISCO SQUARE BLVD STE 400
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City | FRISCO
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State | TX
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Zip | 75034-3251
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Country | US
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Telephone | 214-923-8488
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Fax | 972-335-6868
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Provider Business Mailing Address
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Address Line | 7548 PRESTON RD STE 141
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City | FRISCO
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State | TX
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Zip | 75034-5689
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Country | US
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Telephone | 214-923-8488
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Fax | 972-335-6868
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA PRUITT
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Credential | LPC
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Telephone | 214-923-8488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15052
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License Number State | TX
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