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General NPI Number Information
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NPI Number | 1528115599
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Entity Type | Individual
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Provider Name | CYNDIE A. FORD PURDY LMHC, NCC, MAC, SAP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 470 PLEASANT GROVE RD
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City | INVERNESS
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State | FL
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Zip | 34452-5746
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Country | US
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Telephone | 352-341-0435
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Fax | 352-341-1562
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Provider Business Mailing Address
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Address Line | PO BOX 3356
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City | DUNNELLON
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State | FL
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Zip | 34430-3356
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Country | US
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Telephone | 352-341-0435
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Fax | 352-341-1562
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 299
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH5401
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH5401
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License Number State | FL
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