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General NPI Number Information
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NPI Number | 1497401806
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Entity Type | Individual
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Provider Name | PRIYE T MUKORO LPC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 2818 FIR CREST CT
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City | STAFFORD
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State | TX
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Zip | 77477-6006
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Country | US
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Telephone | 713-419-1148
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Fax | 281-261-8772
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Provider Business Mailing Address
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Address Line | 2818 FIR CREST CT
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City | STAFFORD
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State | TX
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Zip | 77477-6006
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Country | US
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Telephone | 713-419-1148
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Fax | 281-261-8772
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 83088
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License Number State | TX
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