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General NPI Number Information
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NPI Number | 1477756278
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Entity Type | Organization
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Legal Business Name | PURPOSE PSYCHOLOGY
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 01/30/2011
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Provider Practice Location Address
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Address Line | 1922 WAGON GAP TRL
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City | HOUSTON
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State | TX
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Zip | 77090-1026
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Country | US
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Telephone | 281-444-9553
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Fax | 281-444-9553
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Provider Business Mailing Address
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Address Line | 1922 WAGON GAP TRL
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City | HOUSTON
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State | TX
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Zip | 77090-1026
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Country | US
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Telephone | 281-444-9553
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Fax | 281-444-9553
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Authorized Official
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Title or Position | PRESIDENT
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Name | BONNIE MADELINE MOORE
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Credential | MA, LPC
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Telephone | 281-444-9553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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