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General NPI Number Information
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NPI Number | 1508789876
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Entity Type | Individual
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Provider Name | FAITH ABRAHAM LPC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1607 TROUP HWY
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City | TYLER
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State | TX
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Zip | 75701-5745
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Country | US
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Telephone | 903-533-1817
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Fax |
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Provider Business Mailing Address
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Address Line | 23538 STATE HIGHWAY 64 E, TX COUNTY, TROUP, TX 75789
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City | TROUP
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State | TX
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Zip | 75789-3904
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Country | US
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Telephone | 210-487-0097
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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 | 103059
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License Number State | TX
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