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General NPI Number Information
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NPI Number | 1588949598
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Entity Type | Individual
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Provider Name | BRENDA B PURSER CSW,MSSW
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Gender | Female
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 215 CENTRAL AVE STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40208-1451
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Country | US
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Telephone | 502-852-7449
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Fax | 502-852-1423
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Provider Business Mailing Address
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Address Line | 501 E BROADWAY STE 290
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City | LOUISVILLE
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State | KY
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Zip | 40202-2040
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Country | US
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Telephone | 502-217-8221
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Fax | 502-217-5056
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1206
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License Number State | KY
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