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General NPI Number Information
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NPI Number | 1427215425
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Entity Type | Individual
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Provider Name | MARY SUZANNE ABERCROMBIE L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 19195 HIGHWAY 67
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City | MALVERN
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State | AR
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Zip | 72104-6640
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Country | US
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Telephone | 214-621-9857
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Fax | 214-594-2383
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Provider Business Mailing Address
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Address Line | 19195 HIGHWAY 67
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City | MALVERN
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State | AR
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Zip | 72104-6640
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Country | US
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Telephone | 214-621-9857
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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 | 59190
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License Number State | TX
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