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General NPI Number Information
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NPI Number | 1447578109
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Entity Type | Organization
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Legal Business Name | ANN PRICE REYNOLDS, PLLC
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 1005 MARLANDWOOD RD SUITE 107
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City | TEMPLE
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State | TX
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Zip | 76502-3329
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Country | US
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Telephone | 254-742-0299
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Fax | 254-742-0434
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Provider Business Mailing Address
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Address Line | 3513 LAS MORAS DR
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City | TEMPLE
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State | TX
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Zip | 76502-2134
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Country | US
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Telephone | 254-742-0299
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Fax | 254-742-0434
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Authorized Official
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Title or Position | OWNER
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Name | ANN PRICE REYNOLDS
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Credential | LPC, LMFT
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Telephone | 254-718-6527
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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 | 10588
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3364
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License Number State | TX
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